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If you are receiving SSI (Supplemental Security Income) benefits, then you must become part of Maine Pooled Disability Trust II and use the following documents: All other disabled individuals (including those receiving Social Security Disability; Social Security Retirement), please use Maine Pooled Trust I documents below. It is important that if you are receiving SSI benefits, you be placed in the trust specifically designed for SSI recipients. Please determine through your attorney, or other knowledgeable professional, whether you receive SSI benefits.

The following documents may be used for both Trusts: All forms are in Adobe Acrobat (PDF) format. You will need the free Adobe Acrobat Reader software, which you can get by by following this link.
Maine Pooled Disability Trust
Ron Bansmer, Executive Director
P.O. Box 887
Augusta, Maine 04332
Phone (207) 967-6072
Fax (207) 480-1065
mpdt@mainepooleddisabilitytrust.org