Downloads: Enrollment, Disbursement and Resources

Enrollment Documents:

Please visit here for other items that must be included with enrollment.

First-Party (required)

•  First-Party Declaration of Trust: Please read before signing a First-Party Joinder Agreement.

•  First-Party Joinder Agreement: Must be signed by the beneficiary or guardian and notarized.

•  Beneficiary Information Form: To be submitted along with a joinder agreement or when benefits and contact information change.

Third-Party (required)

•  Third-Party Declaration of Trust: Please read before signing a Third-Party Joinder Agreement.

•  Third-Party Joinder Agreement: Must be signed by the beneficiary or guardian and notarized.

•  Beneficiary Information Form: To be submitted along with a joinder agreement or when benefits and contact information change.

Disbursement Documents:

•  Permissible Disbursements Examples of what the Trust can pay for based on benefits received.

•  Disbursement Request Form : Please submit this form along with corresponding receipts when requesting a disbursement.

Other:

•  Schwab Letter of Release Form: If a funding or deposit check is in the beneficiary’s name and will be signed over to the beneficiary’s sub-account, please complete and submit this form along with the check. Instructions on how to complete the form are here.

• COVID-19 Informational Resources: Our Management Agent, Community Housing Network compiled this list of resources for those we serve. Please check back regularly as the list is updated numerous times throughout the day.