Apply for Help

If you're facing hardship, we want to hear from you. Our assistance is guided by the principles of Zakat — caring for the poor and needy, those in debt, and travelers in distress — and is open to anyone in need, regardless of faith or background.

Your Information

Full legal name *

Date of birth *

Phone *

Email (optional)

Street address *

City *

State *

ZIP *

Country *

Household & Income

Household size *

Number of dependents *

Monthly household income ($) *

Monthly expenses ($, optional)

Source of income *

I have savings or assets beyond what I need for basic living expenses.

What You Need

Type of assistance *

How urgent is your need? *

Amount requested ($, optional)

Please describe your situation *

We collect this information to determine eligibility for assistance, including assistance funded by Zakat. We may contact you and request additional documentation or identification before any assistance is disbursed. Your information is kept confidential and used only to evaluate and process your request.

I certify that the information provided is true and accurate to the best of my knowledge. *

I consent to being contacted by the Bedier Foundation about this application. *

I understand I may be asked to verify my identity and need before any assistance is approved or disbursed. *