Families / All Categories
This document is the standard invoice completed by persons or organizations providing residential services to Community Living disABILITY Services participants.
Department/Crown:Families
Category:Families
This document describes the short-term, individualized support that may be available to Community Living disABILITY Services participants who are experiencing crisis.
Department/Crown:Families
Category:Families
This document describes the residential service options that may be available to eligible Community Living disABILITY Services program participants, as well as the purpose and objectives of these service options.
Department/Crown:Families
Category:Families
This document describes the respite service options that may be available to eligible Community Living disABILITY Services participants, as well as the purpose and objectives of these service options.
Department/Crown:Families
Category:Families
This document is the standard invoice completed by persons or organizations providing respite services to Community Living disABILITY Services participants.
Department/Crown:Families
Category:Families
This document describes the bridgeback service option that may be available to eligible Community Living disABILITY Services participants when their employment is terminated or follow-up services become so intensive that the participant no longer meets eligibility criteria for that service option. Bridgeback services allow eligible participants to re-access day services funding to assist them to re-establish themselves in employment in the community.
Department/Crown:Families
Category:Families
This document is the standard form completed jointly by organizations providing supported employment services and Department of Families staff when requesting bridgeback funding to assist a Community Living disABILITY Services participant re-establish themselves them in employment in the community.
Department/Crown:Families
Category:Families
This document describes the follow-up service option that may be available to eligible Community Living disABILITY Services participants to assist them to maintain competitive employment in the community.
Department/Crown:Families
Category:Families
This document is the standard form completed jointly by organizations providing supported employment services and Department of Families staff when requesting follow-up services to assist a Community Living disABILITY Services participant maintain competitive employment in the community.
Department/Crown:Families
Category:Families
This document is the standard form completed jointly by organizations providing supported employment services and Department of Families staff when requesting an extension of follow-up services to assist a Community Living disABILITY Services participant maintain competitive employment in the community.
Department/Crown:Families
Category:Families
This document is the standard service record and invoice completed by organizations providing supported employment to Community Living disABILITY Services participants.
Department/Crown:Families
Category:Families
This document defines the Supported Independent Living service model within the Community Living disABILITY Services program, and outlines the model's components and provider qualifications, as well as the funding and mode of delivery parameters.
Department/Crown:Families
Category:Families
This document defines the Supported Independent Living - Rent Top Up service model within the Community Living disABILITY Services program, and outlines the model's components as well as the funding and mode of delivery parameters.
Department/Crown:Families
Category:Families
This form is completed by service providers providing supported independent living services to eligible Community Living disABILITY Services participants and submitted to the Department of Families for approval. It includes information about the participant, such as their support budget level, the proposed per diem, and the services and supports the individual requires.
Department/Crown:Families
Category:Families
This document outlines the use of the Supports Intensity Scale, a valid and reliable assessment tool the Department of Families uses to identify the support needs of adults receiving services through the Community Living disABILITY Services program.
Department/Crown:Families
Category:Families
This document outlines the requirements and process by which an individual, substitute decision maker, family member, or support network member may request a review of the administration of the Supports Intensity Scale interview and process.
Department/Crown:Families
Category:Families
This form may be completed by an individual, substitute decision maker, family member, or support network member to request a review of the Supports Intensity Scale interview and process.
Department/Crown:Families
Category:Families
This document defines the Supports to People Living at Home with Family service model within the Community Living disABILITY Services program, and outlines the model's activities, components, provider qualifications, as well as the funding and mode of delivery parameters.
Department/Crown:Families
Category:Families
This document provides direction to Department of Families staff about how family members and service providers should report information related to injuries or suspicious marks on a vulnerable person's body.
Department/Crown:Families
Category:Families
This document outlines describes the transportation services that may be available to eligible Community Living disABILITY Services participants, including funding for public transportation and specialized transportation services to and from day services.
Department/Crown:Families
Category:Families
This document provides guidance and detailed information to Community Service Workers who support Community Living disABILITY Services program participants about the building on abilities initiative and the assessment informed personal supports budget framework.
Department/Crown:Families
Category:Families
This document provides guidance and detailed information to Community Living disABILITY Services funded service providers and agencies about the building on abilities initiative and the assessment informed personal supports budget framework.
Department/Crown:Families
Category:Families
This form is completed by the Public Guardian and Trustee (when appointed as the substitute decision maker for a Community Living disABILITY Services program participant for decisions involving property and or/personal care) to report any changes to the participant's personal financial plan to the community service worker.
Department/Crown:Families
Category:Families
This document provides information to employing authorities funded by Community Living disABILITY Services to provide day services and/or transportation services regarding where to obtain Criminal Record Checks, Child Abuse Registry Checks, and Adult Abuse Registry Checks.
Department/Crown:Families
Category:Families
This document provides Department of Families staff with guidance regarding completing and maintaining support plans for Community Living disABILITY Services program participants.
Department/Crown:Families
Category:Families
Authorize staff of the Employment and Income Assistance Program, to disclose to Community Unemployed Help Centre any personal information and/or personal health information, in compliance with The Freedom of Information and Protection of Privacy Act and The Personal Health Information Act.
Department/Crown:Families
This document informs child care assistants with post-secondary credentials about assessment and receiving ECE II classification, based on competencies and prior learning.
This document describes collection, verification procedures, maintenance of completed background check documents on personnel files of new employees of Manitoba licensed child care centres and nursery schools, including nursery school parent volunteers.
This document describes how to obtain required background checks as an applicant/licensee of a family/group child care home (including children aged 12 to 18 years residing in the licensed home) and the process to submit to the Early learning and Child Care Program.
This is an application for funding from Employment and Income Assistance to help with costs associated with Manitoba's legal gender and name change requirements.
Department/Crown:Families
A form that confirms employment of an EIA participant to be completed by an employer.
Department/Crown:Families
| This internal use form is completed to attest that a Direct Support Provider has received necessary training to administer medications to a child open Children's disABILITY Services during the provision of respite services. |
Department/Crown:Families
This document describes conflict of interest guidelines for members of an early learning child care centre board of directors and employees, including when to file a conflict of interest declaration.
This is an application form for the Connect 2 program, requesting a voice mailbox for an EIA participant. It is to be completed by employment agency staff on behalf of the participant.
Department/Crown:Families
The Child and Family Services Act, Sections 20, 30 and 40 explain that a parent or legal guardian must be given two days notice of a hearing involving their rights and the rights of their child.This is a statutory regulated form embedded in The Child and Family Services Regulation.
Department/Crown:Families
This form is completed by a participant of Community LIving disABILITY Services to provide their consent for a referral to Behaviour Psychology Services.
Department/Crown:Families
Manitoba Developmental Centre consent form for routine medical treatment and procedures.
Department/Crown:Families
Category:Families
This document provides formal written consent of a child to adoption for all situations where the child is 12 years of age or older. The Consent of a Child to Adoption form and Affidavit of Execution must be submitted to the Court of Queen's Bench of Manitoba (Family Division).
Department/Crown:Families
Category:Families
This suggested form is intended to be used by a child 12 years of age and older to register with the Post-Adoption Registry to seek their birth family.
Department/Crown:Families
This document provides formal written consent of a Director or Child and Family Services (CFS) agency for placement of a child for adoption in situations where the child is a permanent ward of a CFS agency.
Department/Crown:Families
Category:Families
This document provides formal written consent of guardian(s) to adoption for situations where the child to be adopted is not placed for adoption by a child and family services agency.
Department/Crown:Families
Category:Families
This document provides formal written consent of a parent to adoption for situations where the child to be adopted is not placed for adoption by a child and family services agency.
Department/Crown:Families
Category:Families
This is a template of the Consent to Disclose Personal Information form to be completed by applicants with Early Childhood Educator (ECE) certification issued by a regulatory authority from another Province or Territory.
Connect with other equality-seeking organizations! Submit your upcoming events and help the women's community stay in touch. Add an upcoming fundraiser, meeting, celebration or presentation to our Council Currents bi-monthly newsletter.
The Court Summary identifies parties involved, order requested and the reasons for the order. It outlines the reasons for apprehension, including summary of worker contact with parent and child and summary of contacts by other Agencies or persons with the parties, and a brief family history.
Department/Crown:Families
Category:Families
This form is required to assess whether a person may pose a risk to the health, safety or well-being of children or be unable to discharge the responsibilities as a child care worker, volunteer or licensee.
This form is required to assess whether a person may pose a risk to the health, safety or well-being of children or be unable to discharge the responsibilities as licensee (or overnight staff of a group child care home only).
This is a template of a crisis facility invoice form, completed monthly, that provides details of EIA-related costs for applicants (and dependents) receiving (have received) support from a crisis shelter.
Department/Crown:Families
This is a template of an Emergency Assistance Request form to be completed by an EIA applicant, in coordination with staff from a crisis shelter/safe home facility/crisis office, and submitted to EIA program staff to be reviewed and processed.
Department/Crown:Families
When there is a critical incident reported, the agency must report all known information within one hour after a person's report is received by the agency (or by 10 a.m. the next business day if received when the agency office is closed). This is an internal form.
Department/Crown:Families
Death benefit request letter.
Department/Crown:Families
The Declaration of Commitment is a document to be completed by prospective adoptive parents which provides written confirmation of their marital status (including persons in a permanent conjugal relationship). This form is required to support an application for an order of adoption.
Department/Crown:Families
Category:Families
The Declaration of Commitment to the Child is a document to be completed by two persons who are jointly caring for and maintaining the child, who are neither married to each other nor common-law partners, or two members of the child's extended family for the purposes of adoption.
Department/Crown:Families
Category:Families
This is a template of the Declaration of Family Income as prescribed by regulation made under The Adoption Act. Prospective adoptive parents are required to complete a declaration form, which includes instructions for completing a Detailed Calculation of Annual Family Income worksheet. https://web2.gov.mb.ca/laws/rules/regforms_e.php?set=adoption
Department/Crown:Families
Category:Families
Where the director of child and family services approves the placement of a designated child with a prospective adoptive parent under section 42 of The Adoption Act, the prospective adoptive parent can use this form to apply to the director for financial assistance with respect to the adoption.
Department/Crown:Families
The Child and Family Services Regulation, Section 7(1) states "the parent or guardian shall, at the request of the agency, complete and sign the Declaration of Family Income, Form CFS-10 in Schedule A with respect to the financial information of the parent or guardian with whom the child primarily lives".
Department/Crown:Families
Form for minor applications to complete for benefit assessment.
Department/Crown:Families
Sample of dental preauthorization/claim form.
Department/Crown:Families
This document is a template of a Service Purchase Agreement between the Government of Manitoba (Department of Families) and an external Service Provider. It is a detailed agreement that sets out terms and conditions for the purchase and delivery of services and activities by the Department from a Service Provider.
Department/Crown:Families
This document provides the standard basis of financial reporting for all external Service Providers who receive ongoing funding from the Department of Families. This is a comprehensive document that informs the Service Provider of all financial reporting requirements for funds received from the Department of Families to deliver the Services described in the Service Purchase Agreement/ Contract and Schedules.
Department/Crown:Families
Category:Families
This form asks an EIA applicant to identify and describe their current living arrangements.
Department/Crown:Families
This document is a detailed template recording the work schedule of a recipient of Child Care Subsidy to show the hours and days worked.
This resource guide is intended to help child care centre directors, staff and board members to understand and meet the requirements for developing enhanced safety plans under the The Child Care Safety Charter.
This resource guide helps child care providers to understand and meet the requirements for developing enhanced safety plans under The Child Care Safety Charter.
The following is information that can assist prescribers with the urgent discharge process.
Department/Crown:Families
Disability and Health Supports Unit's Bathing and Toileting Aids Guidelines and Grab Bar and Transfer Pole Installation Form
Department/Crown:Families
Category:Families
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.
Department/Crown:Families
Category:Application
Department/Crown:Families
This form is completed by regulated health professionals to request medical equipment on behalf of a child enrolled with Children's disABILITY Services. The form requires client and health professional information, as well as a justification letter/report in support of requests for specialized equipment. Completed forms are submitted to the Disability and Health Supports Unit for assessment.
Department/Crown:Families
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.
Department/Crown:Families
Category:Application
DHSU Medical Supplies Request and Justification Form.
Department/Crown:Families
This form is completed by regulated health professionals to request medical supplies for a child enrolled with Children's disABILITY Services. The form requires client and health professional information as well as a listing of requested supplies. Completed forms are submitted to the Disability and Health Supports Unit for assessment.
Department/Crown:Families
Request form for therapeutic diets and nutritional supplements.
Department/Crown:Families
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.
Department/Crown:Families
This form is completed by a registered dietitian, physician or nurse to request nutritional supplements for a child enrolled with Children's disABILITY Services. The form requests details of the child's diagnosis and a rationale for providing nutritional supplements. Completed forms are submitted to the Disability and Health Supports Unit for assessment.
Department/Crown:Families
This form is used to request wheelchair seating components for participants of Employment and Income Assistance, Community Living disABILITY Services and Children's disABILITY Services. Requests for wheelchair seating components must be completed by an occupational therapist or physiotherapist. Requests must be submitted to the Disability and Health Support Unit for assessment.
Department/Crown:Families
The Wheelchair Seating Component Request and Justification Form Guide is a step-by-step guide to help occupational therapists and physiotherapists to complete the Wheelchair Seating Component Request and Justification Form in order to request wheelchair seating components for participants of Employment and Income Assistance, Community Living disABILITY Services and Children's disABILITY Services.
Department/Crown:Families
The Wheelchair Seating Component Manual provides procedural information related to the assessment and approval of wheelchair seating component requests made for participants of Employment and Income Assistance, Community Living disABILITY Services and Children's disABILITY Services.
Department/Crown:Families
Category:Families
This is a template of a Direct Deposit Enrolment form verifying the banking information of an EIA participant and authorizing payment of EIA benefits directly to their bank account.
Department/Crown:Families
This document is a template of a Direct Deposit Enrolment form verifying the banking information of the participant and authorizing payment for benefits directly to their bank account.
Department/Crown:Families
This internal use form is completed by Children's disABILITY Services' staff with input from families living outside of Winnipeg to evaluate the delivery of respite and child development services.
Department/Crown:Families
This Directive is intended to provide additional clarity for staff when Splitting a Child's Budget or Determining Partial Assistance for a Child.
Department/Crown:Families
Effective August 1, 1989, the fee charged for testing the nitrate content of well water will be increased from $5.00 to $10.00 per sample. Public health nurses will be advising social allowances recipients who require the test to pay this fee and then present the lab receipt to their financial worker for reimbursement as a health need.
Department/Crown:Families
The following policy clarification regarding a social allowances recipient's right to appeal is provided for your information and future reference.
Department/Crown:Families
The Employment and Income Assistance Program will now require SIN's to be provided by applicants.
Department/Crown:Families
Manitoba Child Care provides a "Seeking Employment" subsidy to Manitobans, including income assistance participants, who are seeking employment. The Seeking Employment subsidy may be used while a parent is researching the job market, preparing a resume, meeting with an employment counselor, calling and visiting employers or attending job interviews.
Department/Crown:Families
This is an Employment and Income Assistance directive from October 2000 regarding work expectations and financial sanctions in assessing two-parent families. This directive states that, while both parents in a general assistance family are subject to work expectations regardless of the age of their youngest child, only one adult will be subject to financial sanctions.
Department/Crown:Families
The new TELS system is designed to provide workers with a tool to match Employment and Income Assistance participants to available education, training or employment opportunities in order to assist them to become self-sufficient.
Department/Crown:Families
In an effort to address those exceptional special needs requests of Employment and Income Assistance (EIA) participants that currently require Director's approval in a more timely and efficient manner, please be advised that effective immediately, EIA Directors may approve such special need requests up to a value not exceeding $1,000.00.
Department/Crown:Families
Employment and Income Assistance (EIA) and Manitoba Housing Authority (MHA) have established a process to be used in confirming rental information for EIA participants residing in or moving into MHA accommodations.
Department/Crown:Families
Please ensure that all relevant medical data provided by physicians is reflected on the "pink sheet" and for those cases which are appealed to the Social Services Advisory Committee, the "pink sheet" is typed for clarity and provided as part of the Board report.
Department/Crown:Families
The following is intended to provide clarification re: How to handle a GA couple without children where the second adult is not complying with work expectations. How to handle deferring work expectations for the second adult of a GA family with children under 6.
Department/Crown:Families
The purpose of this amendment is to provide further direction regarding any requests for health services that are made by individuals who are eligible to access health services from an alternate program.
Department/Crown:Families
In cases where EIA decides to pursue legal action against a sponsor to recover assistance that has been provided to an EIA participant whose sponsorship has failed, please be advised that EIA will be required to provide written verification that the sponsor was notified of the immigrant's application with EIA.
Department/Crown:Families
The Appeal Board has outlined their new procedure in a set of Bulletins.
Department/Crown:Families
This directive sets out the criteria for approving payment of an invoice for taxi trips.
Department/Crown:Families
A process has been established with the Student Financial Assistance Program whereby Employment and Income Assistance (EIA) Case Coordinators may request priority processing of a participant's student loan application.
Department/Crown:Families
Detail provisions to be applied to all Employment and Income Assistance (EIA) applicants/participants who are engaged in legal strike action.
Department/Crown:Families
Outlines the procedure to be implemented in situations where a participant advises that their cheque was lost, stolen or not received and later it is determined that the cheque was cashed.
Department/Crown:Families
An information sharing protocol between Corrections and Employment and Income Assistance (EIA) has been signed to ensure that EIA benefits are not paid when a participant is residing in a provincial correctional facility.
Department/Crown:Families
