Zakat Assistance Online Application

This form is to be used for providing financial assistance to any Muslim who is zakat-eligible. The person must be a good standing member and part of the Muslim community. The form must be completed in its entirety along with submission of all supporting documentation. The application cannot be processed without all the required documentation provided.

• Application may not be processed without supporting documentation. Please make sure you provide your contact information.
• Applicant is responsible for reporting all Zakat assistance income to the IRS and other government agencies for any tax and legal reporting purposes.
• You authorize the GDM to share, report and verify information provided on this form for the purposes of this request with any local, state and federal organizations, including other Islamic organizations and Masjids as needed.
• Please allow at least two weeks for the Zakat Committee to review your application

Required Documentation

• Copy of a valid government issued photo ID (i.e. Driver’s License, Passport)
• Copy of any outstanding bills for living expenses (rent, utilities, medical, etc.)
• Proof of all current income. If no income then a statement on how you plan to provide for your expenses in the future if your application is approved.
• Please use additional sheets of paper to provide details for any of the information requested below.
• If you have any extenuating personal circumstances and are seeking any exception by the Zakat Committee, please detail your request on a separate sheet of paper along with references for verification.
• Upon review of application, GDM may request more documentation to determine eligibility.