Application and Reporting Forms

ATTENTION GRANTEES:

The IRS issued a new regulation on September 9, 2008 which changed the Advanced Ruling rules.  Under the new regulation, the IRS eliminated the Advance Ruling period. 
              
In an effort to comply with the new IRS regulation the Health Care Foundation is requesting written confirmation that your organization remains a Code Section 501(c)(3) organization and a Public Charity.  Confirmation of your charitable status should be submitted with your next scheduled report.  Payments will not be generated without the requested charitable status confirmation.  Questions should be directed to your Program Officer at (816) 241-7006.
 
2010 Safety Net RFP (Word)

Application Checklists

Applicant Defined Application Checklist (pdf)
Foundation Defined Application Checklist (Word)

Cover Page

Applicant Defined (Word)
Foundation Defined (Word)

Budget Sheets

(If you "Save As" and receive a pop-up window requesting a password, select "Cancel" and it will take you directly to your desktop "My Documents.")

Applicant Defined Grants (xls)
One Year Budget (xls)
Multi-Year Budget (xls)

Narrative Templates

Applicant Defined Narrative (Word)
Foundation Defined Letter of Intent (Word)
Foundation Defined Narrative (Word)

Examples

Budget Worksheet and Budget Narrative (pdf)
Matching Resources (pdf)
Program Logic Model & Outcome Measurement Framework (Word)

Grantee Reporting Guidelines

Interim Grant Report Guidelines (Word)
Final Grant Report Guidelines (Word)*

*Beginning July 1, 2008, grantees will be asked to complete an abstract as part of the Final Grant Report.

Interim & Final Report Budget Form

Interim & Final Report Budget Form (xls)