Special Needs Trust - Wyoming

Wyoming Estate Planning & Wills Updated October 26, 2026 Free Word and PDF

THIRD-PARTY DISCRETIONARY SPECIAL NEEDS TRUST AGREEMENT

(State of Wyoming)



TABLE OF CONTENTS

  1. Document Header
  2. Definitions
  3. Creation of Trust & Identification of Parties
  4. Trust Purpose & Governing Principles
  5. Funding the Trust
  6. Administration & Distribution Standards
  7. Trustee Powers & Duties
  8. Representations & Warranties
  9. Covenants & Restrictions
  10. Events of Default; Removal & Succession of Trustee
  11. Risk Allocation
  12. Termination of Trust & Remainder Distribution
  13. Dispute Resolution
  14. General Provisions
  15. Execution & Acknowledgment

1. DOCUMENT HEADER

THIS THIRD-PARTY DISCRETIONARY SPECIAL NEEDS TRUST AGREEMENT (the “Agreement”) is entered into and made effective as of [EFFECTIVE DATE] (the “Effective Date”) by and among:

  • [SETTLOR LEGAL NAME], an individual residing at [ADDRESS] (“Settlor”);
  • [INITIAL TRUSTEE LEGAL NAME], whose principal address is [ADDRESS] (“Trustee”); and
  • [BENEFICIARY LEGAL NAME], a person with a disability as defined in 42 U.S.C. § 1382c(a)(3) (“Beneficiary”).

The trust created hereby shall be known as the “[NAME OF TRUST]” (the “Trust”) and shall be administered in accordance with the laws of the State of Wyoming, including the Wyoming Uniform Trust Code, Wyo. Stat. Ann. § 4-10-101 et seq., Wyoming's statutory treatment of special needs and pooled trusts for Medicaid eligibility purposes at Wyo. Stat. Ann. § 42-2-403(f), and applicable federal SSI and Medicaid trust rules. This is a third-party trust; it does not claim the first-party trust exception under 42 U.S.C. § 1396p(d)(4)(A).


2. DEFINITIONS

For ease of reference, capitalized terms have the meanings set forth below and apply equally to singular and plural forms.

“Accountant” – The independent certified public accountant engaged by the Trustee pursuant to Section 7.04.

“Administrative Expenses” – All ordinary and necessary expenses incurred in the administration of the Trust, including without limitation tax preparation fees, reasonable legal fees, accounting fees, and Trustee compensation authorized in Section 7.06.

“Applicable Law” – Collectively, (a) the Wyoming Uniform Trust Code, (b) Title 42 of the United States Code and implementing regulations affecting public assistance programs, and (c) any other federal, state, or local statute, regulation, or guidance governing special needs trusts or public benefits eligibility that is in effect from time to time.

“Beneficiary” – The individual identified in Article 1 who is intended to benefit from this Trust.

“Distribution Advisor” – Any person appointed under Section 7.03 to provide non-binding recommendations to the Trustee concerning distributions.

“Governmental Assistance” – Means-tested or needs-based public assistance programs, including but not limited to Supplemental Security Income (“SSI”), Medicaid, Section 8 housing, and Supplemental Nutrition Assistance Program (“SNAP”), for which the Beneficiary is or may become eligible.

“Supplemental Needs” – Expenses that enhance the Beneficiary’s quality of life and are not covered by Governmental Assistance, including but not limited to medical and dental care not otherwise provided, adaptive equipment, education, transportation, recreation, vacations, and other items permitted under Applicable Law.

“Trust Assets” – All property, real or personal, tangible or intangible, transferred to the Trust, together with all earnings, replacements, and increments thereon.

“Trustee” – The person or entity then serving as trustee of the Trust.


3. CREATION OF TRUST & IDENTIFICATION OF PARTIES

3.01 Creation. Settlor hereby irrevocably transfers and delivers to Trustee the property described in Schedule A attached hereto (the “Initial Corpus”) to hold in trust, together with any additional property subsequently transferred to the Trust, subject to the terms herein.

3.02 Irrevocability. This Trust is irrevocable. Settlor expressly waives all rights and powers, whether alone or in conjunction with others, to alter, amend, revoke, or terminate the Trust except as expressly provided herein.

3.03 Acceptance. Trustee hereby accepts the Trust and agrees to administer the same strictly in accordance with the terms of this Agreement and Applicable Law.


4. TRUST PURPOSE & GOVERNING PRINCIPLES

4.01 Primary Purpose. The Trust is established to provide for the Beneficiary’s Supplemental Needs while preserving the Beneficiary’s continuing eligibility for Governmental Assistance.

4.02 No Support Obligation. Distributions are intended to be supplementary and discretionary; they shall not be available for the Beneficiary’s basic support if such availability would disqualify or reduce Governmental Assistance, except as permitted in Section 6.05.

4.03 Spendthrift Protection. To the maximum extent permitted by law, the Trust shall be a spendthrift trust; neither the Beneficiary nor any creditor shall have any right to anticipate, encumber, or compel distributions.


5. FUNDING THE TRUST

5.01 Sources. In addition to the Initial Corpus, a person other than the Beneficiary or the Beneficiary’s spouse may, with Trustee’s consent, transfer property to the Trust by lifetime gift, will, beneficiary designation, or other legal instrument.

5.02 Prohibited Contributions. The Trustee shall not accept assets owned by the Beneficiary into this third-party Trust. Refer a proposed contribution of Beneficiary-owned assets to benefits counsel for separate planning, including whether an independently established first-party special needs trust under 42 U.S.C. § 1396p(d)(4)(A) or a pooled-trust account under § 1396p(d)(4)(C) is available and appropriate. Those exceptions have distinct conditions and reimbursement provisions; this instrument does not satisfy them merely by amendment.

For SSI purposes, assets of the Beneficiary's spouse are not third-party assets under SSA POMS SI 01120.200. The Trustee shall not accept them into this third-party Trust; refer any proposed contribution to benefits counsel for separate planning.


6. ADMINISTRATION & DISTRIBUTION STANDARDS

6.01 Discretionary Distributions. Subject to Wyoming's mandatory duty of good faith and this Trust's purposes, Trustee may make or withhold distributions of income and principal for the Beneficiary’s Supplemental Needs, including distributions under Section 6.05. The Beneficiary has no right to demand a particular distribution. A court may review the exercise of distribution discretion on the grounds stated in Wyo. Stat. § 4-10-814(e).

6.02 Supplemental Needs. Trustee may pay for or provide goods and services that improve the Beneficiary’s comfort, welfare, and happiness, including but not limited to:
a. Medical, dental, vision, and mental-health care not otherwise covered;
b. Therapies, habilitation, and assistive technology;
c. Education, training, and tutoring;
d. Transportation (including vehicle purchase and maintenance);
e. Recreation, hobbies, vacations, and travel companions;
f. Personal services, guardianship fees, or case-management services; and
g. Home modifications, furnishings, and electronics.

6.03 Prohibited Payments. Trustee shall not distribute cash directly to the Beneficiary. Under 20 C.F.R. § 416.1130 et seq., as amended effective September 30, 2024 (89 Fed. Reg. 21,199 (Mar. 27, 2024)), food is no longer counted as “in-kind support and maintenance” (“ISM”) for SSI purposes; only shelter-related expenses (e.g., rent, mortgage, real property taxes, heating fuel, gas, electricity, water, sewer, and garbage collection) remain subject to ISM reduction. Trustee may pay a provider for food or provide food in kind without an SSI food-ISM reduction. This does not authorize cash distributions or gift cards to the Beneficiary: under SSA POMS SI 00830.522, a gift card usable for food or shelter, or one that can be resold, is generally income when received. Trustee shall check the rules of each other benefit program before a food payment. Trustee shall not pay for shelter items in a manner that would be considered ISM unless Trustee first determines that any resulting reduction in benefits is in the Beneficiary’s best interest.

6.04 Distribution Methodology. Whenever practicable, Trustee shall make payments directly to providers of goods and services.

6.05 Emergency Exception. In emergencies threatening the Beneficiary’s health or safety, Trustee may make distributions for basic support even if such distributions adversely affect benefits, provided Trustee documents the emergency and consults the Distribution Advisor if time permits.

6.06 Accounting & Reporting. Trustee shall maintain accurate books and records and provide (i) an annual accounting to the Beneficiary (or legal guardian) and Settlor, and (ii) any reports required by state or federal agencies.


7. TRUSTEE POWERS & DUTIES

7.01 General Fiduciary Standard. Trustee shall act as a prudent person would in managing similar property, consistent with the Wyoming Prudent Investor Rule, Wyo. Stat. Ann. § 4-10-901 et seq., unless expressly modified herein.

7.02 Enumerated Powers. Without limiting general fiduciary powers, Trustee may:
a. Invest and reinvest Trust Assets;
b. Open and maintain bank, brokerage, and other financial accounts;
c. Buy, sell, lease, or encumber real or personal property;
d. Engage agents, attorneys, investment advisors, and other professionals;
e. Borrow money and pledge Trust Assets;
f. Prosecute or defend claims;
g. Execute all instruments necessary to administer the Trust.

7.03 Distribution Advisor. Settlor (or, after Settlor’s death, a majority of adult remainder beneficiaries) may appoint a Distribution Advisor by written instrument. The Advisor’s recommendations are advisory and non-binding.

7.04 Accountant. Trustee shall engage an independent certified public accountant to prepare federal and state fiduciary income tax returns and to assist with other tax matters.

7.05 Bond. [SELECT ONE:]
• ☐ Bond Waived. Trustee shall serve without bond.
• ☐ Bond Required in the penal sum of $[AMOUNT] issued by a surety licensed in Wyoming.

7.06 Compensation. Trustee is entitled to reasonable compensation consistent with market rates for trusts of similar size and complexity, plus reimbursement of Administrative Expenses.


8. REPRESENTATIONS & WARRANTIES

8.01 Settlor. Settlor represents and warrants that:
a. Settlor owns the Initial Corpus free and clear of adverse claims;
b. Settlor has full legal capacity and authority to establish this Trust; and
c. Establishment of the Trust does not violate any court order or contract.

8.02 Trustee. Trustee represents and warrants that:
a. Trustee is qualified under Applicable Law to serve;
b. Trustee has reviewed the duties imposed by this Agreement and Applicable Law; and
c. Trustee is not currently suspended or removed from fiduciary service in any jurisdiction.

8.03 Survival. All representations and warranties survive the execution of this Agreement and remain in force for the duration of the Trust.


9. COVENANTS & RESTRICTIONS

9.01 Compliance Covenant. Trustee shall administer the Trust in strict compliance with Applicable Law governing special needs trusts and Governmental Assistance.

9.02 Notice of Material Events. Trustee shall notify the Beneficiary (or legal guardian) and, if living, Settlor within thirty (30) days after (i) any change in Trustee, (ii) any litigation involving the Trust, or (iii) receipt of any governmental notice that could affect benefits eligibility.

9.03 Audit & Inspection. Beneficiary (or legal guardian) may, upon thirty (30) days’ written notice, inspect Trust records at reasonable times.

9.04 Investment Restrictions. Trust Assets shall not be invested in margin accounts, derivatives, or other high-risk financial products inconsistent with the preservation of capital absent written consent of all adult remainder beneficiaries.


10. EVENTS OF DEFAULT; REMOVAL & SUCCESSION OF TRUSTEE

10.01 Events of Default. The following constitute defaults:
a. Breach of fiduciary duty;
b. Failure to provide required accountings within sixty (60) days after written demand;
c. Conviction of a felony or crime of moral turpitude;
d. Incapacity or insolvency of Trustee.

10.02 Removal. The Settlor, a cotrustee, or a qualified beneficiary may request removal in a court with jurisdiction under Wyo. Stat. Ann. §§ 4-10-203 and 4-10-706, subject to proper venue under § 4-10-204. Any additional removal power in this Agreement must be exercised consistently with applicable law and the trust's purpose.

10.03 Successor Trustee. If the office of Trustee becomes vacant, the person(s) named in Schedule B shall serve in the order listed. If no named successor is willing and able and no cotrustee remains, fill the vacancy in the order provided by Wyo. Stat. Ann. § 4-10-704(c), including eligible Settlor appointment, unanimous qualified-beneficiary agreement, or court appointment.

10.04 Transition Duties. A resigning or removed Trustee shall:
a. Deliver all Trust Assets and records to the successor within thirty (30) days; and
b. Provide a final accounting through the date of transfer.


11. RISK ALLOCATION

11.01 Reimbursement. The Trustee may be reimbursed from Trust Assets for expenses properly incurred in administration, subject to Wyo. Stat. Ann. § 4-10-709. This clause does not excuse a breach committed in bad faith or with reckless indifference under § 4-10-1008.

11.02 Personal Liability. The Trustee's personal liability for contracts, torts, and obligations connected with trust property is governed by Wyo. Stat. Ann. § 4-10-1010. This Agreement sets no fixed monetary cap on a beneficiary's breach-of-trust claim.

11.03 Insurance. Trustee may purchase fiduciary liability insurance payable from Trust Assets.

11.04 Disruptions. If an extraordinary event delays administration, the Trustee shall document the event, preserve Trust Assets as reasonably practicable, and resume administration promptly. Applicable fiduciary duties continue during the disruption.


12. TERMINATION OF TRUST & REMAINDER DISTRIBUTION

12.01 Termination Events. The Trust shall terminate upon the earliest of:
a. Beneficiary’s death;
b. Expenditure or distribution of all Trust Assets;
c. Judicial determination that the Trust is no longer necessary for its stated purpose.

12.02 Remainder Distribution. Upon termination, after payment of (i) Administrative Expenses, (ii) any outstanding taxes, and (iii) amounts due under Section 11.01, Trustee shall distribute the remaining principal and undistributed income to the following persons in the percentages indicated:

  • [REMAINDER BENEFICIARY 1] – [___]%
  • [REMAINDER BENEFICIARY 2] – [___]%
  • Etc.

13. DISPUTE RESOLUTION

13.01 Governing Law. The meaning and effect of this Trust's terms shall be determined under Wyoming law as designated here, subject to Wyo. Stat. Ann. § 4-10-107 and other applicable law.

13.02 Forum. Wyoming trust administration proceedings belong in a district court or, where authorized, chancery court under Wyo. Stat. Ann. § 4-10-203, with venue determined under § 4-10-204.

13.03 Voluntary Dispute Resolution. After a dispute arises, the affected parties may agree in writing to mediation or arbitration on terms they choose. This Agreement does not itself compel anyone to arbitrate.

13.04 Equitable Relief. A person entitled to seek relief may request protective or equitable relief from a court with jurisdiction and proper venue under Wyo. Stat. Ann. §§ 4-10-203 and 4-10-204.


14. GENERAL PROVISIONS

14.01 Amendment. Any amendment must follow an applicable trust term or statutory process, including Wyo. Stat. Ann. § 4-10-412 where applicable. Counsel should evaluate the effect on Governmental Assistance before execution and obtain any required court approval. This clause alone does not confer authority to amend.

14.02 Waiver. No waiver of any provision shall be deemed a waiver of any other provision or subsequent breach.

14.03 Assignment. Except as expressly provided, no party may assign its rights or obligations hereunder.

14.04 Successors & Assigns. This Agreement binds and inures to the benefit of the parties and their respective successors and permitted assigns.

14.05 Severability. If any provision is held invalid or unenforceable, the remaining provisions shall remain in full force, and the invalid provision shall be reformed to the minimum extent necessary to effectuate the parties’ intent.

14.06 Entire Agreement. This Agreement constitutes the entire understanding among the parties concerning the subject matter and supersedes all prior agreements or representations.

14.07 Counterparts; Electronic Signatures. This Agreement may be executed in one or more counterparts, each deemed an original and all constituting one instrument. Signatures delivered by PDF or equivalent electronic means shall be binding and effective.


15. EXECUTION & ACKNOWLEDGMENT

IN WITNESS WHEREOF, the parties have executed this Agreement as of the Effective Date.

Settlor
___________________________ Date: ___________
[SETTLOR LEGAL NAME]
Trustee
___________________________ Date: ___________
[INITIAL TRUSTEE LEGAL NAME], Trustee
Beneficiary (acknowledgment only)
___________________________ Date: ___________
[BENEFICIARY LEGAL NAME]

NOTARY ACKNOWLEDGMENT

State of Wyoming )
County of [________________________________] ) ss.

On this ___ day of __________, 20__, before me, the undersigned Notarial Officer, personally appeared [SETTLOR NAME] and [INITIAL TRUSTEE NAME], known to me or proven to me on the basis of satisfactory evidence to be the individuals who executed the foregoing instrument and who acknowledged to me that they executed the same for the purposes therein stated.

_________________________________
Notary Public
My Commission Expires: _____________


SCHEDULE A

Initial Corpus

  1. Cash: $[AMOUNT] deposited to [BANK & ACCOUNT #]
  2. [DESCRIPTION OF ANY SECURITIES OR PROPERTY]

SCHEDULE B

Successor Trustees (in order of priority)

  1. [NAME, ADDRESS]
  2. [NAME, ADDRESS]
  3. [CORPORATE FIDUCIARY NAME & ADDRESS]

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About this template

Last updated
October 26, 2026
Jurisdiction
Wyoming
Category
Estate Planning & Wills

Legal authority

  • Wyoming Uniform Trust Code, Wyo. Stat. Ann. § 4-10-101 et seq.
  • Wyoming Uniform Prudent Investor Act, Wyo. Stat. Ann. § 4-10-901 et seq.
  • Wyo. Stat. Ann. § 4-10-203 (trust court jurisdiction)
  • Wyo. Stat. Ann. § 4-10-204 (trust venue)
  • Wyo. Stat. Ann. § 4-10-704 (trustee succession)
  • Wyo. Stat. Ann. § 4-10-706 (trustee removal)
  • Wyo. Stat. Ann. § 42-2-403(f) (Medicaid treatment of private and pooled special needs trusts)
  • 42 U.S.C. § 1396p(d)(4)(A) (first-party/self-settled special needs trust exception and Medicaid payback)
  • 42 U.S.C. § 1382c(a)(3) (definition of disability)
  • 20 C.F.R. § 416.1130 et seq., as amended by 89 Fed. Reg. 21,199 (Mar. 27, 2024, eff. Sept. 30, 2024) (food excluded from in-kind support and maintenance; ISM now shelter-only)

Estate planning documents decide what happens to your property, your children, and your medical care when you cannot make those decisions yourself. Wills, trusts, powers of attorney, and health care directives each serve different purposes and each have to meet state law requirements for signing, witnessing, and notarization. A document that looks fine on the page but was not executed correctly can be rejected in probate, which is exactly when it is too late to fix.

Not legal advice

This template is provided for informational purposes. We recommend having an attorney review any legal document before signing, especially for high-value or complex matters.

Checked against the law it cites

The statutes this template relies on are listed under Legal authority.

SSA EM-24048 (Sept. 25, 2024) (checked October 28, 2026): "we will no longer include food in our calculations of ISM"

SSA POMS SI 00830.522 (gift cards and gift certificates) (checked October 28, 2026): "The value of a gift card or gift certificate is income in the month it is received"

SSA POMS SI 01120.200 (third-party trust definition) (checked September 23, 2026): "A third-party trust is a trust established with the assets of someone other than the trust beneficiary (or their spouse)."

42 U.S.C. § 1396p(d)(4)(A) (checked October 26, 2026): "A trust containing the assets of an individual under age 65 who is disabled"

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