Need support?

Apply for Zakat Assistance

If you are seeking Zakat support, please complete this confidential application and upload supporting documents. Our team will review your submission.

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1. Applicant information

First name *

Last name *

Date of birth

Gender

Phone number *

Email address *

Street address *

City *

Province *

Postal code *

Marital status

Citizenship / immigration status

Length of time at current address

Do you have valid ID?

ID type

ID number

2. Household members

List people living in your household (up to 5).

Name	Relationship	Age

3. Monthly income (CAD)

Employment income

Government assistance

Other income (specify amount)

Total monthly income

4. Monthly expenses (CAD)

Rent / mortgage

Food

Utilities

Transportation

Medical expenses

Child support

Debt payments

Other expenses

Total monthly expenses

5. Assets (CAD)

Cash in bank

Savings

Investments

Property (excluding primary residence)

Vehicles (other than primary use)

Other assets

Total assets

6. Debts (CAD)

Credit card debt

Medical debt

Personal loans

Student loans

Other debts

Total debt

7. Supporting documents

Upload PDF, JPG, or PNG only. Max 5 MB per file.

Government-issued ID

Proof of income (pay stubs / benefits)

Bank statements (last 2–3 months)

Rent or mortgage agreement

Utility bills

Debt statements

Any other relevant documentation

8. Reason for Zakat request

Please explain your situation and why you are applying for Zakat assistance.

9. Declaration

I confirm that the information provided is true and accurate to the best of my knowledge. I understand that providing false information may result in disqualification.

Full name (signature)

Date