Special Needs Trust Questionnaire
So an inheritance helps instead of taking benefits away.
For a family protecting someone with a disability. Gathers the benefits they receive, who cares for them and how the trust should work, so money can help without ending SSI or Medicaid.
Time needed
About 45 minutes
This form is available in English and Spanish. Use the language switch at the top of the page.
Have these in front of you
- Benefit award letters (SSI, SSD, Medicaid, Medicare)
- Any guardianship court order or letters
- The name and address of the local Social Security office
- Details of where the money is coming from
About your privacy
This form does not ask for Social Security numbers, Medicaid numbers or Medicare claim numbers. We will need them to draft, and we will take them from you directly.
The printed and downloadable versions are the firm's complete forms and do ask for those numbers, because the court and the agencies need them. Write them on the paper copy and bring it with you, or call the office. Please do not send those numbers through this website or by email.
How would you like to do this?
All three end up in the same place. Pick whichever suits you; there is no wrong one, and you can switch at any point.
Fill it out online
Guided, one section at a time, with plain-language help on the hard questions. It saves as you go, so you can stop and come back.
Download, fill it in, send it back
A PDF you can type into on your own computer and save. When you are done, send it back through the upload box below.
Download the fillable PDFPrint it blank
Prefer pen and paper? Print it, write your answers, and bring it to your consultation or scan it back to us.
Open the print versionSend back a completed form
Finished the PDF on your own computer? Send it here. This upload is encrypted and goes straight to the firm, which is why we ask you to use it instead of email.
If you filled in Social Security or account numbers, those are not copied out of the file. The office will ask you for them directly, so you do not need to send them any other way.
Ready to protect your family's future?
The 30-minute phone consultation is free. Answer a few quick questions and we'll match you with the right attorney for your situation. Bilingual. No obligation.
