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California
Arizona
New Jersey
Florida
Ohio
California
Affidavit Sole Benefit
Allowable Disbursements List List of generally allowable disbursements
Allowable Disbursements List (Spanish) List of generally allowable disbursements translated to Spanish
Brochure CPT Special Needs Trust
Change of Advocate Form
Disbursement Request Form – Utilize to request funds from your trust
DRA Asset Transfer Rules Deficit reduction act asset transfer rules outline.
Grillo Case Case attorney held liable for not protecting government benefits.
Grillo Court Documents Case attorney held liable for not protecting government benefits.
HIPAA (Health Insurance Portability and Accountability Act) Authorization for the Use and Disclosure of Protected Health Information
MSA (Medicare Set Aside) Submission Rules
Outline of CA CPT Program
Petition CA Court Supervised Sample California Petition
Petition CA Not Court Supervised Sample California Petition
Pre-Existing Creditor Claims 4faqs
Snapshot First party Special Needs Trust (SNT) comparison
SNT-Quick-Reference-Sheet
Trust Application Utilize this form to gather information to submit your case
Trust Notification Letter Sample document (Word .docx format) to provide notification to Social Security Administration (SSA) about your trust
Waiver of Liability & Advice to Seek Legal Counsel
W-9 Needed for all trust enrollees. PDF version that can be filled out, printed, then mailed.
Arizona
Affidavit Sole Benefit
Allowable Disbursements List List of generally allowable disbursements
Allowable Disbursements List (Spanish) List of generally allowable disbursements translated to Spanish
Brochure CPT Special Needs Trust
Change of Advocate Form
DE312 Arizona budget reporting document
DE522
Disbursement Request Form – Utilize to request funds from your trust
DRA Asset Transfer Rules Deficit reduction act asset transfer rules outline.
Grillo Case Case attorney held liable for not protecting government benefits.
Grillo Court Documents Case attorney held liable for not protecting government benefits.
HIPAA (Health Insurance Portability and Accountability Act) Authorization for the Use and Disclosure of Protected Health Information
Master Trust Arizona
MSA (Medicare Set Aside) Submission Rules
Outline of the CPT Program
Pre-Existing Creditor Claims 4faqs
Snapshot First party Special Needs Trust (SNT) comparison
SNT Quick Reference Sheet
Trust Application Utilize this form to gather information to submit your case
Trust Notification Letter Sample document (Word .docx format) to provide notification to Social Security Administration (SSA) about your trust
Waiver of Liability & Advice to Seek Legal Counsel
W-9 Needed for all trust enrollees. PDF version that can be filled out, printed, then mailed.
New Jersey
Affidavit Sole Benefit
Allowable Disbursements List List of generally allowable disbursements
Allowable Disbursements List (Spanish) List of generally allowable disbursements translated to Spanish
Brochure CPT Special Needs Trust
Change of Advocate Form
Disbursement Request Form – Utilize to request funds from your trust
DRA Asset Transfer Rules Deficit reduction act asset transfer rules outline.
Grillo Case Case attorney held liable for not protecting government benefits.
Grillo Court Documents Case attorney held liable for not protecting government benefits.
HIPAA (Health Insurance Portability and Accountability Act) Authorization for the Use and Disclosure of Protected Health Information
Master Trust New Jersey
MSA (Medicare Set Aside) Submission Rules
Outline of the CPT Program
Pre-Existing Creditor Claims 4faqs
Snapshot First party Special Needs Trust (SNT) comparison
SNT Quick Reference Sheet
Trust Application Utilize this form to gather information to submit your case
Trust Notification Letter Sample document (Word .docx format) to provide notification to Social Security Administration (SSA) about your trust
Waiver of Liability & Advice to Seek Legal Counsel
W-9 Needed for all trust enrollees. PDF version that can be filled out, printed, then mailed.
Ohio
Affidavit Sole Benefit
Allowable Disbursements List List of generally allowable disbursements
Allowable Disbursements List (Spanish) List of generally allowable disbursements translated to Spanish
Brochure CPT Special Needs Trust
Change of Advocate Form
Disbursement Request Form – Utilize to request funds from your trust
DRA Asset Transfer Rules Deficit reduction act asset transfer rules outline.
Grillo Case Case attorney held liable for not protecting government benefits.
Grillo Court Documents Case attorney held liable for not protecting government benefits.
HIPAA (Health Insurance Portability and Accountability Act) Authorization for the Use and Disclosure of Protected Health Information
Master Trust Ohio
MSA (Medicare Set Aside) Submission Rules
Outline of the CPT Program
Pre-Existing Creditor Claims 4faqs
Snapshot First party Special Needs Trust (SNT) comparison
SNT Quick Reference Sheet
Trust Application Utilize this form to gather information to submit your case
Trust Notification Letter Sample document (Word .docx format) to provide notification to Social Security Administration (SSA) about your trust
Waiver of Liability & Advice to Seek Legal Counsel
W-9 Needed for all trust enrollees. PDF version that can be filled out, printed, then mailed.
Florida
Affidavit Sole Benefit
Allowable Disbursements List List of generally allowable disbursements
Allowable Disbursements List (Spanish) List of generally allowable disbursements translated to Spanish
Brochure CPT Special Needs Trust
Change of Advocate Form
Disbursement Request Form – Utilize to request funds from your trust
DRA Asset Transfer Rules Deficit reduction act asset transfer rules outline.
Grillo Case Case attorney held liable for not protecting government benefits.
Grillo Court Documents Case attorney held liable for not protecting government benefits.
HIPAA (Health Insurance Portability and Accountability Act) Authorization for the Use and Disclosure of Protected Health Information
Master Trust Florida
MSA (Medicare Set Aside) Submission Rules
Outline of the CPT Program
Pre-Existing Creditor Claims 4faqs
Snapshot First party Special Needs Trust (SNT) comparison
SNT Quick Reference Sheet
Trust Application Utilize this form to gather information to submit your case
Trust Notification Letter Sample document (Word .docx format) to provide notification to Social Security Administration (SSA) about your trust
Waiver of Liability & Advice to Seek Legal Counsel
W-9 Needed for all trust enrollees. PDF version that can be filled out, printed, then mailed.