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Forms and Policies

Community Living disABILITY Services - Application Form

This is the application form completed by individuals to assist the Department of Families in determining the individual's eligibility for the Community Living disABILITY Services (CLDS) program.  By completing the form, the individual authorizes the Province of Manitoba, Department of Families or its representative to obtain from any physician, hospital, school, social services agency or any relevant source, the medical, psychological or psychiatric information required for the purposes of confirming the individual's eligibility for the CLDS program.

 

Visit
Website
Fill and Printclds-application.pdf
Department/Crown website

Main Office

Community Living disABILITY Services, Families

For after hours emergencies only:204-945-0183
For after hours emergencies only:1-866-559-6778

Winnipeg Office(s)

Selkirk
101-446 Main Street
Winnipeg , Manitoba R1A 1V7
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T: 204-904-8412
F: 204-785-5321

Winnipeg
3-1050 Leila Avenue
Winnipeg , Manitoba R2P 1W6
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T: 204-945-0979
F: 204-938-5609

Rural Manitoba Office(s)

Department/Crown: Families
Category: Families
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