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.