Zakat Request Form

• Please complete the form in its entirety with all required information
• Please ensure you hit 'Submit'.
• Successful submission will return the message 'Alhamdulillah- Your form has been submitted successfully!'

Masjid Omar Bin Abdul Aziz has been blessed with the ability to help families in need when Zakat funds become available.  To request Zakat, please complete the below form in its entirety.  Incomplete forms will not be considered.  If you have any questions or to follow-up on your request, please send a text message to 770-279-8606.

• This form is only for consideration of Zakat and does not guarantee that assistance will be provided.
• A member of our team will contact you when funds become available or if additional information is required.

All information submitted will be kept strictly confidential.