Rooted in Orem Tree Voucher Application

Complete the following information to apply for a $150 voucher towards a tree from a local nursery for your home.

I certify that the following statements are true

I am the homeowner and occupant of my residence

I have a permanent irrigation source (e.g. sprinkler or drip system)

I am able to plant and maintain the tree at my own expense

I make 80% or less than the Area Median Income based on family size (see image below)

Upload proof of property ownership (e.g. trust deed, warranty deed, property tax bill)

Click Here to Upload

Upload a completed Income Verification Form (Click the link below to download the PDF form)

Click Here to Upload

Complete and submit an Income Verification Form at one of the following links: English Spanish

Return to this form when it has been submitted.

I have submitted an income verification form using the link above.

Yes

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I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.