Application For Help

Thank you for requesting help. It is very important that you take the time to answer the following questions about your circumstances and your situation. We sincerely want to do the best job possible for you and need accurate information so that we may process your request as soon as possible. No one offers help to Fathers like Father Rights World Relief..

Please be advised that, if your request, is approved, you will first be offered a “no interest” loan and then a “grant” if Fathers Rights World Relief deems it necessary. A loan allows the recipient to use of money or services in time of need, yet, allows the Fathers to help other Fathers by paying the loan back when he can and as agreed upon between the Father and Fathers Rights World Relief.

Basic Information

FirstName: LastName: Middle:

Street Address: City

State: Zip: Country: HomePhone:

CellPhone: Email:

Your SSI Number: Your Birthday:

Your Income: Amount of Money Needed:

Do You have other household income: Yes No

Source / Name of Person:

Your Situation

Please indicate what type of case you have by clicking the drop-down menu: Custody Modification Other

Other Information

Place of Employment:

Employers Address: City:

State: Zip: Country: Employers Phone:

Contact Person At Employer: Contact Phone/Ext:

What You Want

Please Indicate What The Funds Will Be Used For:

Item #1:

Item #2:

Item #3:

Item #4:

Item #5:

Please indicate with as much detail as you can, what, specifically you want to do with the funds and why Fathers Rights World Relief should give you a loan or grant. Tell us your story:

Explain when and “how” you can pay the loan back or, why, you can’t pay it back: Payments?

Tell us if there is any substantial injustice or economic hardship in your case. Explain:

Fathers Rights Donations

Fathers Rights World Relief helps Fathers in various situations and is looking for Fathers that are willing to help other Fathers, financially. There is almost no help for Fathers that are in need as there is for women. Your monthly donation will help Fathers in many situations with legal consultation help, food, temporary housing, filing fees and more. A quarterly report will be sent to you documenting where your money was spent.

Are you interested in donating money, monthly, to help other Fathers: Yes No

How Much:

Please outline anything else that you'd like us to know:

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