Downloading a Form to Your Computer

Fillable forms cannot be viewed on mobile or tablet devices. Follow the steps below to download and view the form on a desktop PC or Mac.

  1. Right Click for PC or Ctrl + Click for Mac on the PDF link and click “Save link as” from the menu.
  2. Select the folder you want to save the file in and then click "Save."
  3. Navigate to the folder you saved the file in and Right Click for PC or Ctrl + Click for Mac, then select "Open With" from the menu and select Adobe Acrobat Reader DC.

Note: Open the PDF file from your desktop or Adobe Acrobat Reader DC. Do not click on the downloaded file at the bottom of the browser since it will not open the PDF in Adobe Acrobat Reader DC. It will try to open the file in the browser that results in the same browser error message.

If still having trouble viewing or downloading a form, click here.

Effective Date: 



Updated: 4/1998


Form H1256 is an optional form. It may be used to explore and document how a recipient's financial affairs are handled if the recipient does not report an active bank account.


When to Prepare

A Medicaid eligibility caseworker sends Form H1256 to a recipient or responsible person when the recipient does not have an active bank account.

Number of Copies

Complete one original.


Send the original to the recipient or responsible party. After the form is completed, signed, and returned to the caseworker, he files it in the miscellaneous section of the recipient's case record.

Form Retention

The form is retained for three years after the case is closed or denied.