Enter # of New Water Systems with Fluoridated Water (Block 6): Enter the number of new water systems that were installed to provide optimally fluoridated water as a result of activities that were supported by the grant during the current reporting period in the textbox next to Block 6.
Enter # of Replaced Water Systems with Fluoridated Water (Block 7): Enter the number of water systems that were replaced to provide optimally fluoridated water as a result of activities that were supported by the grant during the current reporting period in the textbox next to Block 7.
Enter Estimated # of Residents Served (Block 8): Enter the estimated number of residents served by community water systems with optimally fluoridated water as a result of activities that were supported by the grant during the current reporting period in the textbox next to Block 8.
Enter # of Children Receiving Dental Sealants (Block 9): Enter the number of children that received a sealant on at least one permanent molar tooth during the current reporting period as a result of activities supported by the grant in the textbox next to Block 9.
Enter # of Individuals Receiving Topical Fluoride : Enter the number of individuals who received topical fluoride during the current reporting period as a result of activities supported by the grant in the textbox next to Block 10.
Enter # of Individuals Receiving Diagnostic Services: Enter the number of individuals who received diagnostic services during the current reporting period as a result of activities supported by the grant in the textbox next to Block 11.
Enter # of Recipients of Oral Health Education (Block 12): Enter the number of individuals who received oral health education during the current reporting period as a result of activities supported by the grant in the textbox next to Block 12.
Enter # of Individuals Receiving an Oral Screening: Enter the number of individuals who received an oral screening during the current reporting period as a result of activities supported by the grant in the textbox.
Enter # of Individuals Receiving a Referral for Dental Services: Enter the number of individuals who received a referral for dental services during the current reporting period as a result of activities supported by the grant in the textbox. 
Enter # of Individuals Receiving any other Type of Preventive Services: Enter number of individuals who received any other type of preventive services during the current reporting period as a result of activities supported by the grant in the textbox.