Request
Assistance

We’re Here to Listen

If you or your family are facing a difficult time, please complete the form below. Your information is kept confidential, and we will do our best to respond as soon as possible.

“And if you are grateful,
I will surely increase you
[in favor].”

Quran 14:7

You are
not alone.

Checking your account…

Start with your email address above to continue.

Request for:

Your Information

Please provide your contact details so we can reach you.

Full Name

Email Address

Phone Number

Street Address

City

State

ZIP / Postal Code

Country

Type of Assistance Needed

About your situation

All three fields below are required. Please enter the amount you need, upload your valid ID, and explain your situation.

Amount of Money Needed (USD) Enter an amount greater than zero. See the follow-up policy below.

Review and follow-up policy

Larger requests require further verification by The Submitters Collective. Eviction relief requests require further verification and follow-up regardless of the amount requested. Our team will contact you if additional information is needed. All requests remain subject to review and available resources.

Upload Valid ID Upload a clear, current government-issued photo ID matching your full name and current address. If your ID does not show your current address, include proof of address with it. Documents are reviewed by our team; uploading a file does not automatically verify identity. PDF, JPG or PNG · Up to 5 files, 5 MB each.

Each selection adds to the list. You can remove files before submitting. PDF, JPG and PNG only; folders and ZIP files are not accepted.

What do you need assistance with? Please describe your circumstances and the purpose of the requested assistance.

Create Your Account

For new users, please create a password to complete your submission.

Password *

Confirm Password *

We will email a verification link. Your request enters review after you verify your email.

Before You Apply

Provide Accurate Information

Please complete all fields with accurate and honest information.

Your Privacy Matters

All information is kept private and used only to review your request.

Please Note

Submitting a request does not guarantee assistance. We review every request carefully and respond as resources allow.

Our Commitment

Every request is treated with care, compassion, and confidentiality. We are here to support individuals and families in need, and we will do our best to respond as soon as possible.

“And cooperate in righteousness
and piety.”

Quran 5:2

Need immediate help?

If you are in a crisis or need urgent assistance, please contact local emergency services in your area.

Share a way to give

Request
Assistance

We’re Here to Listen

“And if you are grateful,
I will surely increase you
[in favor].”

You are
not alone.

Signed in as

Enter Your Email Address to Begin

Reset your password

Your Information

About your situation

Create Your Account

Before You Apply

Provide Accurate Information

Your Privacy Matters

Please Note

Our Commitment

“And cooperate in righteousness
and piety.”

Need immediate help?

RequestAssistance

We’re Here to Listen

“And if you are grateful,I will surely increase you[in favor].”

You arenot alone.

Signed in as

Enter Your Email Address to Begin

Sign in to your account

Reset your password

Your Information

About your situation

Create Your Account

Before You Apply

Provide Accurate Information

Your Privacy Matters

Please Note

Our Commitment

“And cooperate in righteousnessand piety.”

Need immediate help?

Request
Assistance

“And if you are grateful,
I will surely increase you
[in favor].”

You are
not alone.

“And cooperate in righteousness
and piety.”