To Receive A Form Fill Out Contact Information.
(Please remember all funds are distributed through a mosque)
For any financial help the following requirements must be met:
- Must reside in the following states: Minnesota, Wisconsin, Iowa, Michigan, Illinois or Indiana.
- Must be 18 years of age or older
- Must complete entire form (Or the form will be denied)
- Understand that this information is used to determine need and urgency.
**You may be put on a waiting list our funds are limited, as donations come in we will continue to move down the list.**
For any questions on the requirements please email support @
E-mail: Support@jamiilashouse.com