AZTYPO Name Change Grant Application
This form gathers the required information for an applicant to take advantage of the name change grant available through the Arizona Trans Youth and Parent Organization (AZTYPO).

Please complete the application below and submit the form. We will reply to you with more information.
Preferred Name *
Legal Name *
Email *
Phone number
Financial Need
This grant is intended to help those who have a financial barrier to completing a legal name change in Arizona. In order to qualify for this grant, you must meet one of the following conditions:

1. Applicant is receiving TANF or food stamp benefits, or;
2. Applicant's gross income is less than 150% of Federally recognized poverty line, or;
3. Applicant's gross income is insufficient or barely sufficient to meet essentials of life.
Do you meet one of the conditions above? *
Never submit passwords through Google Forms.
This form was created inside of Arizona Trans Youth and Parent Organization. Report Abuse