Utility Assistance Request

Utility Assistance Application

Thanks for contacting The BIAAZ Utilities Fund, which helps survivors of brain injury living independently to keep the lights on and the water running during times of financial crisis. Please provide us with your contact information and support needs below.


The financial awards provided by the Utilities Assistance Fund are made possible by our generous donors and supporters. In order to ensure ongoing funding is available for future beneficiaries, the Brain Injury Alliance of Arizona (BIAAZ) reserves the right to use nondescript examples of assistance provided to fund recipients for the purpose of outreach and promotion to past and potential future donors. We will NEVER share personal or identifying details of an award recipient (name, location, etc.) without their given permission. Thank you, and we hope this assistance makes a positive difference in your brain injury recovery journey.

Please describe your need for assistance.

Please describe your brain injury.

D

Home

D

who we are

D

what we do

D

who we help

D

how to get help

D

you can help

D

the noggin

D

give

D

privacy policy

D

terms & conditions

Brain Injury Alliance of Arizona

5025 E. Washington St, Ste 108
Phoenix, Arizona 85034

CALL

(602) 508-8024

Statewide Info-line
1 (888) 500-9165

Fax (602) 508-8285

BIAAZ is a chartered affiliate of the
United States Brain Injury Alliance.

usbia.org

FOLLOW US
BUTTERS FUND

 

2020 © Brain Injury Alliance of Arizona