Are you opening a PA ABLE Savings Program account for yourself or another person?

Who are you opening the account for?

Are you an adult who is the intended beneficiary's power of attorney, legal guardian or conservator, spouse, parent, sibling, grandparent, or representative payee?

Do you have a disability whose onset occurred prior to your 26^th birthday?

Does the beneficiary have a qualified disability that began prior to the 26th birthday?

Are you entitled to receive Supplemental Security Income (SSI) or Social Security Disability Insurance (SSI) because of your disability?

Is the intended beneficiary entitled to receive Supplemental Security Income (SSI) or Social Security Disability Insurance (SSI) because of a disability?

Are you legally blind OR do you have a severe physical or mental impairment?

Does your disability severely limit your ability to function?

Has your condition lasted, or is it expected to last, more than 12 continuous months or result in death?

Is the intended beneficiary legally blind OR have a severe physical or mental impairment?

Does the intended beneficiary’s disability severely limit ability to function?

Has the intended beneficiary’s condition lasted, or is expected to last, more than 12 continuous months or result in death?

Based on your responses, it appears that you may be eligible to open a PA ABLE Savings Program account. However, you must have a written diagnosis signed by a physician who meets SSA criteria regarding your disability and you must be able to provide it, if requested. You will not need to submit it with your enrollment form.

Please call us at 855-529-2253 with any additional questions or to talk with a customer service representative.

Based on your responses, it appears that that the intended beneficiary may be eligible to open a PA ABLE Savings Program account. However, he or she must have a written diagnosis signed by a physician who meets SSA criteria regarding his or her disability and must be able to provide it, if requested. You will not need to submit it with your enrollment form.

Please call us at 855-529-2253 with any additional questions or to talk with a customer service representative.

Based on your responses, it appears that you may be eligible to open a PA ABLE Savings Program account. Please call us at 855-529-2253 with any additional questions or to talk with a customer service representative.

Based on your responses, it appears that the intended beneficiary may be eligible to open a PA ABLE Savings Program account. Please call us at 855-529-2253 with any additional questions or to talk with a customer service representative.

Based on your responses, it appears that you may not be eligible to open a PA ABLE Savings Program account. Please call us at 855-529-2253 with any additional questions or to talk with a customer service representative.

Based on your responses, it appears that the intended beneficiary may not be eligible to open a PA ABLE Savings Program account. Please call us at 855-529-2253 with any additional questions or to talk with a customer service representative.

Based on your responses, it appears that you may not be eligible to open a PA ABLE Savings Program account for the intended beneficiary. Please call us at 855-529-2253 with any additional questions or to talk with a customer service representative.