Apply for Zakat Assistance

We understand that times can be challenging, and we are here to help. If you are in need of financial support, please complete the Zakat Assistance Application Form below. Our team will review your application and get back to you as soon as possible.


Instructions:

  • Please fill out all the required fields marked with an asterisk (*).
  • Provide accurate and complete information to ensure your application is processed efficiently.
  • If you have any questions or need assistance with this form, feel free to contact us.

Disclaimer:

  • The information provided in this form is strictly to communicate with you. It will not be shared with the donor or any other party under any circumstances.
  • The members of Funds Network are all volunteers. No portion of the donations will go to them.
  • Further financial documents may be required to prove eligibility.
  • By signing this document, you are attesting in front of Allah and the Zakat foundation that all the provided information in this application is true and accurate to the best of your ability. Any discrepancy would disqualify you permanently from receiving assistance from this foundation.

    Name*
    Email Address*
    Phone Number*
    Your Address*
    Gender*
    Marital Status*
    Estimate Monthly Income - including government assistance
    Number of Children
    Occupation
    Reason for Collecting Zakat*
    Amount of Funds Required*
    Reference 1 Name*
    Reference 1 Phone Number*
    Reference 2 Name*
    Reference 2 Phone Number*
    Notes
    Signature*
    Date*