Utah Autism Give

Benefits available through Utah Autism Give range from $500 to $2,000 per recipient.  Currently, recipients may only qualify for a one-time benefit.  Benefits are currently offered for various treatment costs, or an Apple iPad device with special communication application.  Any/all benefits provided will be paid directly to the professional provider of services.  Apple iPads will be paid for and shipped by Utah Autism Give.

To apply for benefits, please print and complete the application below and be sure to include the listed items in your application package. You will not receive a response from UAG unless your application is accepted. Incomplete application packages will not be considered.

UAG Family Benefits Application Form

In addition to the completed and signed application, please include the following:

• Proof of diagnosis (evaluation from qualified clinician)
• Previous year’s IRS tax return
• 2 most recent pay stubs for all employed household members
• Information on professional service provider(s) you intend to use or are using
• Statement of the program/services/benefits being sought and how being a recipient will help your child

Please mail entire package to:
Utah Autism Give
PO Box 1165
American Fork, UT 84003

OR

Scan and email it to: UtahAutismGive@gmail.com