Master Trust of California

Request to Fund True-Link Debit Card

If you need assistance with filling out this form, please refer to the video tutorial or contact Trina Boyce at 909-382-4833.

TrueLink card requests are reviewed and processed each Tuesday with funds available following Wednesday.

Receipts for purchases or services must be submitted to Master Trust after purchases are made with the TrueLink card. Failure to submit receipts may result is suspension of TrueLink card.

Personal Information

Request Date

Beneficary Name

UCI Number or Account Number

Current benefits received, check all that apply:

Supplemental Security Income (SSI)

Medi-Cal

SSDI

Name of Requester

Relationship to Beneficiary

Email address for confirmation

Phone Number

Request Information

Justification

Purchase or Services Requested

Amount Requested

For Master Trust Use Only:

Trust #

Account Balance:

Approved by:

Funded by:

Date Funded:

Notes: