02/05/2026
2026 MASONIC GRANT APPLICATION
I want to let everyone know that grant applications are available at Elgin City Hall for Elgin and surrounding towns. As of the last update, not a single person in Comanche County has applied. This is a real opportunity, and we encourage anyone who may qualify to stop by City Hall and pick up an application. Please help spread the word.
Please read all instructions before completing the application. Incomplete applications or missing documents will not be accepted.
APPLICANT ELIGIBILITY To qualify, the applicant must meet all the following:
• Age 55 or older at the time of application
• Resident of one of ASCOG’s 8 counties:
o Caddo, Comanche, Cotton, Grady, Jefferson, McClain, Stephens, Tillman
• One application per household only
• Past Award Rules:
o Received grant in 2022 or 2023 → Not eligible in 2026
o Received grant in 2021 or earlier → May apply, but new applicants are prioritized
ELIGIBLE ASSISTANCE CATEGORIES (If the cost is higher than the maximum award, the applicant must pay the difference.)
• Hearing Aids – up to $1500
• Dental Work / Dentures – up to $1500
• Durable Medical Equipment – up to $1000
• ADA Wheelchair Ramp – up to $1500
o Must meet ADA standards
o Must own home or have landlord permission
• Limited Home Repairs – up to $1500
o Must own home (rent-to-own not eligible)
o Proof of home ownership required
o Includes hot water tanks
• Heating / Cooling
o Window A/C units or portable heaters only
• Kitchen or Laundry Appliance – up to $800
o New items only
o Eligible: refrigerator, stove/oven, washer, dryer
• Utility Assistance – up to $300
o Must submit cutoff notice or proof of inability to pay
o Utility must be in applicant or spouse’s name
o Eligible: electric, natural gas, propane, water
o Not eligible: cable, phone, subscriptions
• Eyeglasses / Eye Exam – up to $250
• Spousal Benefit – up to $500
o Must include obituary
o Limited to 2 per county
VENDOR REQUIREMENTS: Applicants must submit a quote from an Approved Vendor or a vendor willing to be approved.
Vendors must provide:
1. W-9 Form
2. Worker’s Compensation Coverage OR Proof of Exemption
If a vendor refuses to provide the required documents, the applicant must choose another vendor.
Vendors are not ASCOG employees. Any service or product disputes are between the applicant and the vendor.
DOCUMENTS REQUIRED WITH APPLICATION
Your application must include:
1. Completed application form (all sections filled in)
2. Vendor quote/bid from an approved vendor
o Quote must state applicant is responsible for any amount above the grant award
3. Any additional documents requested by ASCOG
Applications missing any required documentation will not be processed.
APPLICATION REVIEW PROCESS
• Applications are processed first come, first served and based on need.
• Applicants will receive written notification of approval or denial by mail.
• If approved, a voucher will be sent directly to the vendor.
• Vendor must complete work by the deadline and send invoice to ASCOG.
Please do not call to check the status for 30 days.
SUBMISSION INSTRUCTIONS
Submit your application and vendor quote by:
Email: [email protected] or [email protected]
Hand Deliver or Mail:
ASCOG AAA Director – Masonic Grant
802 W Main Street
PO Box 1647
Duncan OK 73534
Faxed documents will not be accepted.
NARRATIVE SECTION (Applicant Must Complete)
Describe what assistance you are requesting (example: hearing aids, ramps, appliances, dental work, etc.) and explain why you need this assistance.
INCOMPLETE APPLICATIONS (OR APPLICATIONS WITH NO ESTIMATE) WILL NOT BE PROCESSED!
Name (print legibly): ________________________________________
Telephone: (_______) ________ - ____________
Address: ___________________________________________________________________________________________________________
Street City Zip County
Date of Birth: _________/ __________/ __________ Age: ______________
Race (optional): _________________________
Total Average Monthly Household Income:
Social Security: $_____________________________
Pension: $_____________________________________
Other (identify source): $____________________
Total Average Monthly Household Expenses:
Rent or Mortgage (circle one): $________________ Home Insurance: $________________
Electric: $________________
Natural Gas: $________________
Water: $________________
How many people live in your residence? ________ Garbage/Sewer: $________________
Vehicle Payment: $________________ Vehicle Insurance: $________________
Vehicle Fuel: $________________
Phone Bill: $________________ Cable/Internet: $________________
Groceries: $________________
Medications: $________________
Medical Bills: $________________
Other (Identify): $________________
_______________________ $________________
Have you or a family member ever been a member of the Masons or Eastern Star? _______
If so, who? ___________________________________________
Is anyone in your household a veteran? __________
If so, who? ___________________________________________
Are you receiving ADvantage services through the state of Oklahoma (NOT Medicare)? ___________
Alternate Contact (Required): Name: ____________________________________________________________________
Relation: _________________________________________________Phone Number: ( ) ___________- _______________
SEE REVERSE. BOTH PAGES OF APPLICATION MUST BE COMPLETED
NARRATIVE: This section must be completed.
Please include the type of assistance you are requesting and why it is needed.
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Please read and sign below.
I have read the Application and Instructions. I hereby authorize ASCOG to release information concerning this application and the assistance received from the appropriate agencies, as well as to the Masonic Charity Foundation of Oklahoma for recordkeeping purposes. I recognize that this program is based on need, and I certify and attest that all the information above is true and accurate to the best of my ability under penalty of perjury for false statements.
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Signature Date
