Philadelphia Community Bail Fund

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  • Home
  • About Us
    • Media
    • Contact Us
  • Cash Bail 101
  • Donate
  • Participatory Defense
  • Resources

 Support Request Form

Please read before filling out this form.

In order for your request to be considered, please have the supporting documents prepared.

Examples of documentation needed: Copy of signed lease; most recent mortgage statement; official documentation verifying the court fines or fees owed; and agreement re retainer from attorney or invoice.  Invoices, leases, and mortgage statements should include directions for payments. 

Please upload the documentation below before you click submit.

For legal fees and rental support, we also need a signed W9 from the landlord or attorney. Please click here to download the W9 form and upload with your documentation. They can also sign and submit a W9 using this online form. The W9 will be sent directly to our fiscal sponsor. Or include the contact information for your landlord, management company, or attorney below and we will reach out to them for the W9 and ACH information if electronic payments are preferred.

If you are requesting support to secure a rental property and you do not yet have a lease, please provide us with the contact information for your potential landlord or management company and we will contact them.

    Support Request Form

    Examples of documentation needed: Copy of signed lease; signed W9 from landlord or attorney; most recent mortgage statement; recent statement of court fines & fees owed; invoice or agreement from attorney. Mortgage statements, leases, and agreements should include directions for payments. 
    Please click here to download the W9 form. Or, send this link to your attorney or landlord so that they can complete a W9 to send directly to us. 
    Please upload the documentation below before you click submit.


    Max file size: 20MB
    Max file size: 20MB
    Max file size: 20MB
    Max file size: 20MB
    Max file size: 20MB
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