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Information for Grant Seekers
Information for Grantees
Forms & Reports

The Delta Dental of Oklahoma Oral Health Foundation (DDOK-OHF) has announced its 2017 year-end grants and 2018 grants. Selected through a board-reviewed application process, the Foundation allocated more than $1.7 million to fund free and low-cost dental clinics, dental education programs and various oral health initiatives. Download the list of grant recipients.

Information for Grant Seekers
The mission of the Delta Dental of Oklahoma Oral Health Foundation is to facilitate dental health and education in the state of Oklahoma by funding programs and services that promote oral health. Based on that mission, we award grants to organizations that make dental care accessible or advance dental education or research.

Eligibility Requirements – 4-Point Test:
  1. The organization seeking the grant must be a 501(c)(3) nonprofit organization with public charity (not private foundation) status, an educational institution, or a government agency. We do not award grants to individuals.
  2. The program, project or initiative being funded must be dental health or education related.
  3. The program cannot discriminate on the basis of race, ethnicity, national origin, or religion.
  4. The program must serve Oklahomans.
  • Priority status is given to programs which provide free dental care services/education to vulnerable or under-served populations and which utilize volunteer dental professionals.
  • The grant application should include measurable goals and a method for measuring success.
  • Grant seekers should review our Funding Guidelines and Priorities prior to applying for a grant.
  • Please be aware that if you are awarded a grant you will be required to sign a Grant Agreement and to submit Grant Reports. Click here for a sample Grant Agreement. See grant reporing details below.
How to Apply for a Grant:
Time Table:
  Oct 10, 2018 Deadline to submit 2019 grant applications
  Week of Jan 28, 2019 Grant decision letters will be mailed
  Mar – Dec 2019 Funds will be disbursed as scheduled

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Information for Grantees

Grant Reports
When the Delta Dental of Oklahoma Oral Health Foundation awards a grant, we take a team approach with you that we hope will provide new insights into effective ways to achieve our mutual goals.

A Mid-Year Grant Report, covering the period of January through June, is required for grants over $10,000. The purpose of this report is to share with the Foundation the progress being made by your program and any challenges or areas where we may be of assistance.

A Final Grant Report, covering the year long grant period, is required for all grants. The purpose of the final grant report is to help the Foundation better understand the organizations and programs we fund, to give you the opportunity to share information and reflect upon the progress of your program, and to document the use of the grant funds for the intended purpose. If applicable, a Service Value Worksheet should accompany the Final Grant Report (see details below).

If you are a clinic or care facilitator, you must complete a Service Value Worksheet and submit it with your Final Grant Report. (A Service Value Worksheetis not required for the Mid-Year Grant Report.) The worksheet is designed to help us establish a uniform system for determining the value of the reduced cost or free care provided. The worksheet contains CDT codes of most typical services. If needed, you may add CDT codes not listed. You may also delete unused CDT codes in order to reduce the length of the report.

In the yellow “Clinic Fee Value” column, enter the “reasonable and customary” value your clinic has assigned to the service. This value is completely at your discretion. The value may be based on what your volunteer dentists would normally charge in their offices or any other method you choose. Please do not enter anything in the blue “standardized” columns. (NOTE: Worksheet requires Microsoft Excel. Submit completed Excel file, not a PDF.)


Report Type Report Form(s) Report Period Deadline Required For
Mid-Year Grant Report Mid-Year Grant Report Form January - June August 31 of
current grant year
Grants over
$10K only
Final Grant Report Final Grant Report Form (All)
Service Value Worksheet (Clinics)
January - December March 1 of
following year


Submitting Your Reports
All grant report forms MUST be submitted before midnight Central Time on the deadline date via email to: We will send you an email acknowledgement upon receipt of your report.

IMPORTANT: DO NOT include Protected Health Information (PHI) in grant reports.

Photos and Testimonials
Your patient/event stories and photos are very important to us. They provide the materials needed to inspire others to contribute or volunteer. We highly recommend you submit photos and at least one patient/event story per year. These may be submitted at any time during the year. Photos and stories must be accompanied by a signed waiver. You may use your own waiver form if it clearly states that you may share the photo/story for use by other entities, or you may use our Waiver Form.

Forms and Reports

Forms for Applicants:
Online Grant Management Program
Grant Management Program Tutorial (PDF)
IRS W-9 Form (pdf)
Funding Guidelines and Priorities (pdf)

Grantee Reports:
Final Grant Report Form (Word doc)
Services Value Worksheet (.xls)
Mid-Year Grant Report Form (Word doc)

Sample Grant Agreement (pdf)

Photo/Story Waiver Form (pdf)

For help with these forms or reports, contact us.

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