ZAKAT APPLICATION FORM

Zakat funds

We care about our community members. Many people in our community are struggling with financial hardship and distress. We have zakat funds available, which have been donated by many generous community members. If you are in a state of financial difficulty and believe that you are zakat-eligible, please complete the form below. We will be sure to get back to you as soon as possible, with a response about how we can help you. We pray that Allah makes things easier for you.

Note: MSDV does not distribute Zakat funds outside the United States. If you do not live in the United States, please do not apply. Zakat applications are reviewed in the order we receive them. Please do not email, call or leave voicemails about Zakat applications.

ZAKAT APPLICATION FORM

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Email *

Phone *

Alternate phone number

Brief description of circumstances *

Monthly househould income *

Monthly rent *

Do you receive welfare or food stamps? *

Have you applied for zakat to other organizations? If so, which ones? *

Number of dependents *

Name of spouse (if applicable)

First

Last

Citizenship/residency status *

Amount requested *

Reference 1

Full Name *

Phone *

Reference 2

Full Name *

Phone *

Checkboxes *

I certify that I have been honest to the best of my ability.*

Checkboxes *

I understand that supporting documents may be requested, such as a photo ID, tax return, bank statements, and any additional evidence of hardship (e.g., eviction notices, past due bills, etc.)*

Name

ZAKAT APPLICATION FORM

Zakat funds

ZAKAT APPLICATION FORM

Reference 1

Reference 2

Newsletter

ADDRESS

PHONE

EMAIL

ZAKAT APPLICATION FORM

Zakat funds

ZAKAT APPLICATION FORM

Reference 1

Reference 2

Newsletter

Sign up for the ICCWG Newsletter

Sign up for the MYCP Newsletter

ADDRESS

PHONE

EMAIL