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: 5/1998


To give advance notice to clients who have established a trust that the trust will affect their eligibility and to give them an opportunity to provide evidence of undue hardship.


When to Prepare

Complete Form H1281 when a client will be denied because of trust policies.

Number of Copies

Prepare an original and one copy.


Send the original Form H1281 to the client at his mailing address or that of his responsible party. A self-addressed envelope is included to facilitate a response. File the copy in the case record.

Form Retention

Keep Form H1281 in the case record for three years.


Inside Address— Enter the name of the client and his mailing address or that of his responsible party.

Date— Self-explanatory.

Worker— Self-explanatory.

Office Address and Telephone Number— Enter the caseworker's complete office address and telephone number.

Trust Information— Indicate whether the trust is a countable resource or producing countable income.

You may provide evidence...If you wish to do so, please contact me before— Enter a date that is seven workdays from the date of this form.