Family Services / All Forms

Access to Birth Records The Access to Birth Records form allows you to apply for access to birth records related to adoption which you may be eligible to receive.
Adult Abuse Registry The Adult Abuse Registry helps protect vulnerable adults by allowing employers to screen potential employees and volunteers who will work with adults specified as vulnerable under The Adult Abuse Registry Act or related laws and regulations.
Application for Continuation of Placement of a Vulnerable Person in a Developmental Centre Under The Vulnerable Persons Living with a Mental Disability Act, certain requirements must be met before a substitute decision maker for a vulnerable person can be appointed. Use this form to apply for continuation of placement in a developmental centre.
Application for Temporary Placement of a Vulnerable Person in a Developmental Centre for Respite Care Under The Vulnerable Persons Living with a Mental Disability Act, certain requirements must be met before a substitute decision maker for a vulnerable person can be appointed. Use this form to apply for temporary placement.
Application for the Appointment of a Substitute Decision Maker Under The Vulnerable Persons Living with a Mental Disability Act, certain requirements must be met before a substitute decision maker for a vulnerable person can be appointed. Use this form to apply for substitution of a decision maker. The requirements for a substitute are included in this application.
Application for the Appointment of a Substitute Decision Maker for Property for a Person Living Outside of Manitoba Under The Vulnerable Persons Living with a Mental Disability Act, certain requirements must be met before a substitute decision maker for a vulnerable person can be appointed. Use this form to apply for appointment as substitute decision maker.
Child Abuse Registry Self-Check Application Child Abuse Registry checks are required for people who want to provide services to or work for a child and family services agency, an adoption agency, a day care centre or a nursery school. Applicants for many other types of jobs and volunteer positions with access to children will require a registry check, too. Any adult who wants to foster or adopt a child, and any adult who will live with them, must be screened by the registry. If you are asked to provide a Child Abuse Registry check for yourself, use this form to apply for it.
Consent for Consideration of Appointment as Emergency/Temporary Substitute Decision Maker Under The Vulnerable Persons Living with a Mental Disability Act, certain requirements must be met before a substitute decision maker for the vulnerable person can be appointed. Use this form (schedule B to E) to apply for appointment as emergency/temporary substitute decision maker.
Contact Preference A Contact Preference specifies the type of contact, if any, between a birth parent and adoptee.
Contact Veto/Preference Cancellation A Contact Veto/Preference Cancellation cancels your previously filed Contact Veto or Contact Preference from the Manitoba Post-Adoption Registry.
Critical Incident Report As of October 15, 2015, The Child and Family Services Amendment Act (Critical Incident Reporting) is in force and it is mandatory to immediately report critical incidents, including serious injury or death, involving children in care.
Disclosure Veto A Disclosure Veto prohibits disclosing information identifying the person who filed the veto.
Disclosure Veto Cancellation The Manitoba Post-Adoption Registry will cancel your previously filed Disclosure Veto from the Manitoba Post-Adoption Registry.
Emergency Application for the Appointment of a Substitute Decision Maker Under The Vulnerable Persons Living with a Mental Disability Act, certain requirements must be met before a substitute decision maker for the vulnerable person can be appointed. Use this form to apply for an emergency appointment for a substitute.
Manitoba Child Tax Benefit Use this form to apply for the tax benefit. NOTE: To apply for the child tax benefit you need to understand the different types of benefits for different types of families.
Medical Equipment Request and Justification Form The DHSU follows current partner program policies and legislation to determine eligibility for medical supply/equipment and diet requests. All requests must be completed by a health professional.
Medical Supply Request and Justification Form The DHSU follows current partner program policies and legislation to determine eligibility for medical supply/equipment and diet requests. All requests must be completed by a health professional.
Notice of Appeal to the Social Services Appeal Board If you disagree with a decision, you can appeal to the Social Services Appeal Board. Appeals may be made about decisions for these programs/services: adoption agency licensing, child care licensing and subsidies, 55-plus income supplement, prenatal benefit, income assistance, residential care licensing, marketAbilities program eligibility and vulnerable persons living with a mental disability (eligibility and individual care plan). Use this form to make an appeal.
Post-Adoption Registry: Change of Information This form will advise the Manitoba Post-Adoption Registry of your updated contact information
Request to Withdraw an Application for Appointment of a Substitute Decision Maker Under The Vulnerable Persons Living with a Mental Disability Act, certain requirements must be met before a substitute decision maker for a vulnerable person can be appointed. Use this form to request withdraw of an application for the appointment of a substitute decision maker.
Review of Substitute Decision Maker Appointment Before Renewal Under The Vulnerable Persons Living with a Mental Disability Act, certain requirements must be met before a substitute decision maker for a vulnerable person can be appointed. Use this form to apply for a review of the appointment before the appointment is renewed.
Schedule A - Real and Personal Property Report Under The Vulnerable Persons Living with a Mental Disability Act, certain requirements must be met before a substitute decision maker for a vulnerable person can be appointed. Use this schedule to list all the real and personal property of a vulnerable person.
Schedule B - Consent for Consideration of Appointment as a Substitute Decision Maker Under The Vulnerable Persons Living with a Mental Disability Act, certain requirements must be met before a substitute decision maker tfor a vulnerable person can be appointed. Use this form to apply for an appointment as substitute decision maker.
Therapeutic Diet and Nutrition Request and Justification Form The DHSU follows current partner program policies and legislation to determine eligibility for medical supply/equipment and diet requests. All requests must be completed by a health professional.
Variation of an Appointment of a Substitute Decision Maker Under The Vulnerable Persons Living with a Mental Disability Act, certain requirements must be met before a substitute decision maker for a vulnerable persnon can be appointed. for an individual. Use this form to apply for a variation of an appointment of a substitute decision maker.
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