Islamic Divorce/Khulu/Talaq

Islamic Divorce / Khulu / Talaq Services Request Form

Masjid Ibrahim ICWC Islamic Divorce / Khulu / Talaq Services Request Form

Service fee schedule

Service location	Fee
At the masjid	$200
At a residence	$400

Applicant information:

Applicant's full legal name

Spouse's full legal name

Phone number

Email address

Requested service location

Masjid

Residence

Preferred appointment date

Brief description or relevant information

I understand that ICWC will review my request, determine the appropriate next steps, and confirm any appointment. This religious service does not replace civil legal advice or court proceedings.