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Families / All Categories

Training Grant Letter
This template approval letter is provided licensed child care centres to advise of approved training grant recipients and to provide instructions to reimburse the applicant.
Departments/Crowns:Education and Early Childhood Learning, Families
Categories:Education and Training, Families
Travel Authorization Form
This form is an agency form and is used when a child is being transported for family trips, visits to birth families or travel for sporting events. The caseworker locates the form in the CFSA system and downloads it on the agency letterhead.
Department/Crown:Families
Category:Families
UNJS Letter - Unsatisfactory Job Search
Letter sent to clients if their job search was unsatisfactory.
Department/Crown:Families
Categories:Employment, Families, Financial Assistance
UTL1 Letter - Utility Direct Billing Notification
Letter sent regarding billing for utilities.
Department/Crown:Families
Categories:Families, Financial Assistance, Housing and Property
UTL3 Letter - Utility Direct Billing Move Notification
Notification of a move for utility billing.
Department/Crown:Families
Categories:Families, Financial Assistance, Housing and Property
Vendor Direct Deposit Form

This form is to be utilized by Government of Manitoba vendors in order to receive payment via Electronic Funds Transfer (EFT) instead of by cheque, for Canadian Banks/ Financial Institutions and in Canadian Funds, only.

Departments/Crowns:Education and Early Childhood Learning, Families
Volume 2(1) Child and Family Services Standards Manual Emergency Facility Standards
Volume 2(1) contains provincial policies and standards with respect to the development, operation and licensing requirements of emergency group care facilities, including the administrative procedures by which licences are issued, maintained, renewed and cancelled. The forms in this manual are not for public use. This is only used once approval for a license has been given.  The information in this standard manual is also contained in Volume 2 Child and Family Services Standards Manual Facility Standards.
Department/Crown:Families
Categories:Application, Families
Voluntary Placement Agreement

The use of voluntary placement as a short term measure is consistent with an agency's duty to provide family guidance, counselling, supervision and other services to families for the protection of children.  This form is located within the Child and Family Services Information System for agency use.  This is a statutory regulated form embedded in The Child and Family Services Regulation

Department/Crown:Families
Category:Families
Voluntary Surrender of Guardianship by Guardian (CFS-14)
The signing of a voluntary surrender of guardianship by guardian (VSG) agreement has the same legal effect as a permanent order of guardianship under subsection 45(1) of The Child and Family Services Act. It permanently terminates all parental rights and obligations for the child after 21 days from the date of signing (see subsection 16(10) of the Act). This is a statutory regulated form embedded in The Child and Family Services Regulation
Department/Crown:Families
Category:Families
Voluntary Surrender of Guardianship by Mother (CFS-15)
The signing of a voluntary surrender of guardianship by mother (VSG) agreement has the same legal effect as a permanent order of guardianship under subsection 45(1) of The Child and Family Services Act. It permanently terminates all parental rights and obligations for the child after 21 days from the date of signing (see subsection 16(10) of the Act). This is a statutory regulated form embedded in The Child and Family Services Regulation.
Department/Crown:Families
Category:Families
Voluntary Surrender of Guardianship by Parent (CFS-13)

The signing of a voluntary surrender of guardianship (VSG) agreement has the same legal effect as a permanent order of guardianship under subsection 45(1) of The Child and Family Services Act. It permanently terminates all parental rights and obligations for the child after 21 days from the date of signing (see subsection 16(10) of the Act). This is a statutory regulated form embedded in The Child and Family Services Regulation.

Department/Crown:Families
Category:Families
VPCO - Affidavit of Accounting and 5 Exhibits
Office of the Vulnerable Persons' Commissioner affidavit of accounting template to be completed by substitute decision makers.
Department/Crown:Families
Category:Families
VPCO - Affidavit of Inventory on Appointment and Exhibit

Office of the Vulnerable Persons' Commissioner affidavit of inventory on appointment template to be completed by substitute decision makers.

Department/Crown:Families
Category:Families
VPCO - Application for an appointment of a Substitute Decision Maker (SDM)
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.
Department/Crown:Families
Category:Application
VPCO - Application for an Emergency Suspension and Temporary Appointment of an SDM
Application form for a substitute decision maker for a vulnerable person to be suspended on an emergency basis and temporarily replaced in accordance with provisions under The Vulnerable Persons Living with a Mental Disability Act.
Department/Crown:Families
Category:Families
VPCO - Application for Temporary Placement of a Vulnerable Person (VP) 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 temporary placement.
Department/Crown:Families
Categories:Application, Families
VPCO - Application for the Appointment of a SDM for a Person Residing 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.
Department/Crown:Families
Categories:Application, Families
VPCO - Application for the Continuation of a 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. 

Department/Crown:Families
Category:Application
VPCO - Application for the Emergency Variation of a SDM Appointment
Application form for an emergency variation of the appointment of a substitute decision maker in accordance with provisions under The Vulnerable Persons Living with a Mental Disability Act.
Department/Crown:Families
Category:Families
VPCO - Determination of Vulnerable Person - Policy and Guidelines
This Policy outlines the information required to determine whether a person meets the definition and can be considered a 'vulnerable person' within the meaning of The Vulnerable Persons Living with a Mental Disability Act.
Department/Crown:Families
Category:Families
VPCO - Emergency Application for the Appointment of a SDM
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. 
Department/Crown:Families
Category:Application
VPCO - Request to Withdraw Application Form
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. 
Department/Crown:Families
Categories:Application, Families
VPCO - Review of SDM Appointment before Renewal Form
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. 
Department/Crown:Families
Categories:Application, Families
VPCO - Schedule A - Real and Personal Property
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. 
Department/Crown:Families
Categories:Application, Families
VPCO - Schedule B - Consent for Consideration
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. 
Department/Crown:Families
Categories:Application, Families
VPCO - Schedule B-E - Consent for Consideration
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. 
Department/Crown:Families
Categories:Application, Families
VPCO - Schedule C - Criminal Record, Child Abuse Registry and Adult Abuse Registry Checks (Screening Tools)
Schedule C of the Application for Appointment of a Substitute Decision Maker, requiring a proposed substitute decision maker to obtain a Criminal Record Check, a Child Abuse Registry Check, and an Adult Abuse Registry Check.
Department/Crown:Families
Category:Families
VPCO - Substitute Decision Maker for Property Bond

This template is for the creation of a bond to ensure that a substitute decision maker for property performs the duties and exercises the powers of a substitute decision maker as set out in The Vulnerable Persons Living with a Mental Disability Act and regulations.

Department/Crown:Families
Category:Families
VPCO - Termination of the Appointment and/or Replacement of a SDM Application
This form is used to apply for the termination of the appointment and/or replacement of a substitute decision maker as set out in The Vulnerable Persons Living with a Mental Disability Act and regulations.
Department/Crown:Families
Category:Families
VPCO - Variation of an Appointment of a SDM Application
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. 
Department/Crown:Families
Warrant to apprehend an absconded child (CFS-26)
This warrant entitles a peace officer to apprehend and return a child in care to their placement if they run away. This is a statutory regulated form embedded in The Child and Family Services Regulation. It I s a form that would only be filled out by a CFS agency and/or a peace officer.
Department/Crown:Families
Category:Families
Warrant to search for a child (CFS-24)
The Warrant allows peace officers to enter these premises, by force if necessary, and to search for the child and if the child appears to be in need of protection, to apprehend the child and to take the child to a place of safety, or take other steps to protect the child. This is a statutory regulated form embedded in The Child and Family Services Regulation.
Department/Crown:Families
Category:Families
Welcome Place Application for Intake Appointment
This is an application form requesting an EIA Intake Appointment.  Staff at Welcome Place (Settlement Services) help the applicant to complete this form and then send it to EIA Programs on their behalf.  An appointment date will be set and then sent back to the staff at Welcome Place (Settlement Services) who will share this information with the applicant.
Department/Crown:Families
Categories:Families, Financial Assistance
Welcome Place Letter of Confirmation for Refugees
This is a form to be completed by staff at Welcome Place (Settlement Services), that confirms to EIA staff the intention of a client to file a refugee claim. 
Department/Crown:Families
Categories:Families, Financial Assistance
Welcome Place Rental Confirmation for EIA
This form asks the applicant to provide EIA staff with confirmation of details about their rental accommodation with MIIC (Welcome Place). 
Department/Crown:Families
Categories:Families, Financial Assistance
Which Shelter Rate Should I Choose and Consent Form
You have a choice between two shelter rates: a base rate for your family size plus the actual amount you pay for utilities (called the Utilities Excluded Shelter Rate) or a higher amount that stays the same regardless of what you pay for utilities (called the Utilities Included Shelter Rate.)
Department/Crown:Families
Workers Compensation Board Assignment of Workers

The assignment form and procedures were developed with the assistance of rural and City staff and a representative from WCB and are effective immediately.

Department/Crown:Families
Wraparound Protocol for Child and Youth with Severe to Profound Emotional and Behavioural Disorders
Tools and resources for the child/youth's team to share information, plan collaboratively and monitor and support the child/youth's educational process. 
Department/Crown:Families
Writing an Inclusion Policy
This guide for child care centres and homes describes inclusion and outlines the steps to be taken to write an inclusion policy.
Departments/Crowns:Education and Early Childhood Learning, Families
Category:Families
ZOA1 Letter - Overpayment Objection Letter
Overpayment objection letter
Department/Crown:Families
Categories:Families, Financial Assistance
ZOA2 Letter - Overpayment Objection 2nd Letter
Objection to overpayment letter.
Department/Crown:Families
Categories:Families, Financial Assistance
ZOA3 Letter - Overpayment Objection Final Letter
Overpayment objection letter.
Department/Crown:Families
Categories:Families, Financial Assistance
ZPL1 Letter - Please Make Arrangements to Repay Overpayment
Letter sent to arrange payments to repay an overpayment.
Department/Crown:Families
Categories:Families, Financial Assistance
ZPL7 Letter - Last Postdated Cheque Cashed
Letter sent to advise that more post dated cheques need to be submitted.
Department/Crown:Families
Categories:Families, Financial Assistance
ZPL9 Letter - Resuming Overpayment Collection Please Contact

Letter advising that collection of an existing overpayment is resuming.

Department/Crown:Families
Categories:Families, Financial Assistance
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