Request for Services

Thank you for reaching out to Trans Solutions Research & Resource Center. We are committed to supporting transgender and non-binary individuals by connecting them to affirming resources. While we are not a crisis center, we understand that some needs may be time-sensitive.

Our team is dedicated to responding to emergent needs in a timely manner to the best of our ability. Please note that our services are designed to provide ongoing support, information, and connections rather than immediate crisis intervention.


If you have any questions about an item, please email info@transsolutionsrrc.org.
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Email *
Legal Name (First and Last)  *
What name is listed on your ID or other legal documents?
Chosen Name (First and Last) 
What name should we use for you if different than your legal name? This can include nicknames if you want us to use that name for you.
Date of Birth * *
MM
/
DD
/
YYYY
Pronouns (select all that apply) *
Required
Phone Number (If not applicable, please put "N/A")
Please include the area code.
Gender Identity (select all that apply) *
Required
Race or Ethnicity (choose all that apply) *
Required
Sexual Orientation *
Mailing Address (If not applicable, please put "N/A")
 *
Please include the number, street address, city, state, and ZIP code if applicable.
Do you have Proof of Identification? (Ex: State ID, Driver's License, Passport, SSN, Student ID) *
If you do not have one and would like assistance obtaining one, please answer "No" and proceed to the next question.
If you selected "No" to the question above, can we help you get Proof of Identification?
If you do not need assistance obtaining an ID, please skip to the next question.
Clear selection
Do you know your HIV Status? *
If the answer is yes, are you currently receiving care?
Clear selection
Have you ever been involved in the justice system? Please note that we ask this question to better connect you with proper resources & this information will not impact your services with us.* *
What services and resources are you currently in need of? *
Required
If you chose "Rental/Housing Assistance", are you currently receiving any other housing assistance or have Section 8?
Clear selection
If you are seeking any other services not listed here, please comment below.
Were you referred to us by an organization? *
If so, from what organization?
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