FINANCIAL ASSISTANCE APPLICATION
NOTICE OF CONFIDENTIALITY : This Zakat Form includes highly personal and confideantialInformation intended only for restricted, internal use by authorized personnel exclusively for evaluationof Zakat requests. Unauthorized use, copying, distribution or dissemination is strictly prohibited.
INSTRUCTIONS : Kindly help us to help those in need of Zakat. Please provide accurate and detailedinformation so we may evaluate Zakat requests in a timely and effective manner.
INCOMPLETE FORMS WILL NOT BE CONSIDERED.
Please bring the following documents with you to expedite your application for assistance:
- Photo ID – Mandatory
- Social Security Card – Mandatory
- Rent Receipt
- Any other bills, eviction notices, etc.