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Families / All Categories

Community Living disABILITY Services - Variance to Financial Plan
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
Community Living disABILITY Services - Where to Request Record Checks

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
Community Living disABILITY Services Support Plan Policy

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
Community Unemployed Help Centre Authorization for release of Information Form
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
Categories:Families, Financial Assistance
Competency Based Assessment/Prior Learning Assessment Program (CBA/PLA) - Program and Policies Brochure
This document informs child care assistants with post-secondary credentials about assessment and receiving ECE II classification, based on competencies and prior learning. 
Departments/Crowns:Education and Early Childhood Learning, Families
Categories:Accreditation, Certification, Education and Training, Families
Completing Background Checks - Centres and Nursery Schools
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. 
Departments/Crowns:Education and Early Childhood Learning, Families
Categories:Families, Licence
Completing Background Checks: Family or Group Child care Homes
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.
Departments/Crowns:Education and Early Childhood Learning, Families
Categories:Families, Licence
Confirmation for EIA Change of Sex Designation
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
Categories:Families, Financial Assistance
Confirmation of Employment
A form that confirms employment of an EIA participant to be completed by an employer.
Department/Crown:Families
Categories:Families, Financial Assistance
Confirmation of Training Received by a Direct Support Provider to Administer Medication to a Participant
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
Conflict of Interest Guidelines
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.
Departments/Crowns:Education and Early Childhood Learning, Families
Categories:Business, Employment, Families
Connect 2 Application and Referral Form

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
Categories:Employment, Families, Financial Assistance
Consent and Waiver of Notice (CFS-29)
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
Consent for Psychological Assessment/Consultation/Treatment (CLDS)
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
Consent for Routine Medical Treatments and Procedures
Manitoba Developmental Centre consent form for routine medical treatment and procedures.
Department/Crown:Families
Category:Families
Consent of Child to Adoption
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
Consent of Child, 12 years and older, to register with the Post-Adoption Registry
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
Categories:Application, Families
Consent of Director of Child and Family Services Agency to Adoption
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
Consent of Guardian(s) to Adoption
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
Consent of Parent to Adoption
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
Consent to Disclose Personal Information (ELCC)
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.
Departments/Crowns:Education and Early Childhood Learning, Families
Categories:Certification, Families
Council Currents - Event Submission Form

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.

Departments/Crowns:Families, Sport, Culture and Heritage
Court Summary
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
Criminal History Disclosure Statement and Information Release Consent - Child Care Centres and Nursery Schools

 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.

Departments/Crowns:Education and Early Childhood Learning, Families
Categories:Families, Licence
Criminal History Disclosure Statement and Information Release Consent Form - Family and Group Child Care Homes

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).

Departments/Crowns:Education and Early Childhood Learning, Families
Categories:Application, Families
Crisis Facility Invoice
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
Categories:Families, Financial Assistance
Crisis Shelter/Safe Home Facility/Crisis Office Emergency Assistance request
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
Categories:Families, Financial Assistance
Critical Incident Report - Agency

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
Categories:Application, Families
Death Benefit Request Letter
Death benefit request letter.
Department/Crown:Families
Declaration of Commitment
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
Declaration of Commitment to the Child
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
Declaration of Family Income
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
Declaration of Family Income
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
Categories:Application, Families
Declaration of Family Income (Form CFS-10)
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
Categories:Families, Financial Assistance
Declaration of Income for Minor Applicants form
Form for minor applications to complete for benefit assessment.
Department/Crown:Families
Dental Prior Approval/Claim Form
Sample of dental preauthorization/claim form.
Department/Crown:Families
Department of Families (sic Family Services) Service Purchase Agreement (SPA) Generic
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
Description of Living Arrangements
This form asks an EIA applicant to identify and describe their current living arrangements.
Department/Crown:Families
Categories:Families, Financial Assistance
Detailed Work Schedule to be Completed by Employer
This document is a detailed template recording the work schedule of a recipient of Child Care Subsidy to show the hours and days worked. 
Departments/Crowns:Education and Early Childhood Learning, Families
Categories:Employment, Families, Financial Assistance
Developing Enhanced Safety Plans and Codes of Conduct: A Guide to Safety Charter requirements for Child Care Centres

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.

Departments/Crowns:Education and Early Childhood Learning, Families
Categories:Families, Licence
Developing Enhanced Safety Plans and Codes of Conduct: A Guide to Safety Charter Requirements for family and group child care homes

This resource guide helps child care providers to understand and meet the requirements for developing enhanced safety plans under The Child Care Safety Charter.

Departments/Crowns:Education and Early Childhood Learning, Families
Categories:Families, Licence
DHSU - Urgent Hospital Holds
The following is information that can assist prescribers with the urgent discharge process.
Department/Crown:Families
Categories:Families, Financial Assistance
DHSU Bathing and Toileting Aids Guidelines and Grab Bar and Transfer Pole Installation Form
Disability and Health Supports Unit's Bathing and Toileting Aids Guidelines and Grab Bar and Transfer Pole Installation Form
Department/Crown:Families
Category:Families
DHSU Medical Supplies Request and Justification Form (EIA/CLDS/CDS)
DHSU Medical Supplies Request and Justification Form.
Department/Crown:Families
Categories:Families, Financial Assistance, Health
DHSU Therapeutic Diet and Nutritional Supplement Request Form (EIA/CLDS/CDS)
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
Categories:Application, Families
DHSU Wheelchair Seating Component Request and Justification Form (EIA/CLDS/CDS)

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
Categories:Application, Families, Health, Youth
DHSU Wheelchair Seating Component Request and Justification Form Guide (EIA/CLDS/CDS)
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
Categories:Application, Families, Youth
DHSU Wheelchair Seating Manual (EIA/CLDS/EIA)

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
Direct Deposit Enrollment Form
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
Categories:Families, Financial Assistance
Direct Deposit Form
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
Categories:Application, Families, Financial Assistance
Direct Support Provider/Child Development Worker (Rural) Service Review
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
Directive - 2006-05

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
Categories:Families, Financial Assistance
Directive 1989-29

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
Categories:Families, Financial Assistance
Directive 1990-16

The following policy clarification regarding a social allowances recipient's right to appeal is provided for your information and future reference.

Department/Crown:Families
Categories:Families, Financial Assistance
Directive 1990-38
The Employment and Income Assistance Program will now require SIN's to be provided by applicants.
Department/Crown:Families
Categories:Families, Financial Assistance
Directive 2000-14
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
Categories:Families, Financial Assistance
Directive 2000-41 R
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
Categories:Families, Financial Assistance
Directive 2001-14

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
Categories:Employment, Families, Financial Assistance
Directive 2001-20

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
Categories:Families, Financial Assistance
Directive 2001-24R
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
Categories:Families, Financial Assistance
Directive 2001-31
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
Categories:Families, Financial Assistance, Health
Directive 2001-38

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
Categories:Families, Financial Assistance
Directive 2001-43

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
Categories:Families, Financial Assistance, Health
Directive 2002-14R
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
Categories:Families, Financial Assistance, Immigration
Directive 2002-16
The Appeal Board has outlined their new procedure in a set of Bulletins.
Department/Crown:Families
Categories:Families, Financial Assistance
Directive 2002-28

This directive sets out the criteria for approving payment of an invoice for taxi trips.

Department/Crown:Families
Categories:Families, Financial Assistance
Directive 2002-33

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
Categories:Education and Training, Families, Financial Assistance
Directive 2002-49

Detail provisions to be applied to all Employment and Income Assistance (EIA) applicants/participants who are engaged in legal strike action.

Department/Crown:Families
Categories:Families, Financial Assistance
Directive 2002-52

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
Categories:Families, Financial Assistance
Directive 2002-55
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
Categories:Families, Financial Assistance
Directive 2002-55

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
Categories:Families, Financial Assistance
Directive 2002-61
 
The implementation of this new program does not affect Employment and Income Assistance (EIA) participants eligibility for health services benefits.  EIA participants who enroll in the Palliative Care Drug Access Program (PCDAP) will need to retain their EIA drug benefits as the EIA benefit list includes some products that are not on the PCDAP benefit list.  
Department/Crown:Families
Categories:Families, Financial Assistance
Directive 2002-61
The implementation of this new program does not affect Employment and Income Assistance (EIA) participants eligibility for health services benefits.  EIA participants who enroll in the Palliative Care Drug Access Program (PCDAP) will need to retain their EIA drug benefits as the EIA benefit list includes some products that are not on the PCDAP benefit list.  
Department/Crown:Families
Categories:Families, Financial Assistance, Health
Directive 2002-69

Subsection 5(5) of the Manitoba Assistance Act has been amended which results in same-sex common-law partners being treated in the same manner as persons who are legally married to each other, or are opposite-sex common-law partners, for the purposes of establishing and maintaining eligibility for Employment and Income Assistance (EIA) benefits.

Department/Crown:Families
Categories:Families, Financial Assistance
Directive 2002-70
The Assistance Regulation has been amended to allow for the exemption of compensation payments received from other Hepatitis C programs that are similar to the Manitoba Hepatitis C Assistance Program (MHCAP).   
Department/Crown:Families
Categories:Families, Financial Assistance
Directive 2003-05
Effective immediately, rental information is to be obtained from the lease or other satisfactory documentation provided by a participant or from the Employment and Income Assistance (EIA) Rental Information Form.
Department/Crown:Families
Categories:Families, Financial Assistance
Directive 2003-17

The White Paper: Full Citizenship: A Manitoba Provincial Strategy on Disability, announced that new exemptions were being developed to assist persons with disabilities to be able to better meet their daily living costs and improve their quality of life.  As a result, new exemptions have been incorporated into the Assistance Regulation, and are effective immediately.  The Assistance Regulation has been amended to incorporate the provisions of the exemptions.

Department/Crown:Families
Categories:Families, Financial Assistance
Directive 2003-33

There are sometimes unexpected changes in a participant's circumstances where providing excess rent funds may be required to avoid undue hardship to participants and their families.

Department/Crown:Families
Categories:Families, Financial Assistance
Directive 2004-17
Outline the procedures for transferring EIA files between offices.
Department/Crown:Families
Categories:Families, Financial Assistance
Directive 2004-21

Remind staff of procedures to be followed with reference to annual reviews. 

Department/Crown:Families
Categories:Families, Financial Assistance
Directive 2004-22
EIA process where a participant has taken compassionate care leave from their place of employment.  
Department/Crown:Families
Categories:Employment, Families, Financial Assistance
Directive 2004-30
This clarifies the Employment and Income Assistance (EIA) program's policy and procedures with respect to clients' request to the Social Services Appeal Board (SSAB) for an extension of the timeframe for filing a Notice of Appeal.
Department/Crown:Families
Categories:Families, Financial Assistance
Directive 2004-37
Provides additional information on the compensation available for persons infected with Hepatitis C (HCV).
Department/Crown:Families
Categories:Families, Financial Assistance, Health
Directive 2004-48
Outlines , a new, simpler process for referring EIA participants to OFE.
Department/Crown:Families
Categories:Education and Training, Families, Financial Assistance
Directive 2004-49
All EIA offices are now providing intake services to all applicants, including immigrants.  
Department/Crown:Families
Categories:Families, Financial Assistance, Immigration
Directive 2005-15
EIA has arranged for district offices to be provided with three publications by the Financial Consumer Agency of Canada (FCAC) that inform the public about the financial products and services that are available to them.
Department/Crown:Families
Categories:Families, Financial Assistance
Directive 2005-16

To ensure that all rent paid direct by EIA is to the appropriate landlord and SAMIN landlord records are accurate, a consistent process for EIA staff to follow has been developed.

Department/Crown:Families
Categories:Families, Financial Assistance
Directive 2005-31
EIA policy Section 21.1.3 (5) provides authority for EIA program staff to cover the cost of participant moves at an amount up to the actual costs of moving by the most economical means. 
Department/Crown:Families
Categories:Families, Financial Assistance
Directive 2005-32

EIA staff are to consider Manitoba Health policy when assessing eligibility for income assistance, when a family is applying to help defray the cost to allow for a full or partial waiver of the daily minimum rate charged to long-term care participants.

Department/Crown:Families
Categories:Families, Financial Assistance
Directive 2005-36
Provides policy clarification related to the treatment of unearned income that is reported at intake and during enrollment.  
Department/Crown:Families
Categories:Families, Financial Assistance
Directive 2005-41
This Employment and Income Assistance directive from July 2005 provides policy clarification related to the treatment of earned income that is reported at intake and during enrollment.
Department/Crown:Families
Categories:Families, Financial Assistance
Directive 2005-41

This directive provides policy clarification related to the treatment of earned income that is reported at intake and during enrollment.  

Department/Crown:Families
Categories:Families, Financial Assistance
Directive 2005-47
EIA Release of Participant Personal Info and Personal Health Information
Department/Crown:Families
Categories:Families, Financial Assistance
Directive 2006-15 Revised
Manitoba Justice is now offering a Child Support Recalculation Service for parents who want their child support order recalculated based on updated financial information. 
Department/Crown:Families
Categories:Families, Financial Assistance
Directive 2006-46

EIA participants who are participating in an educational plan may receive awards, bursaries and grants for a variety of reasons and EIA will exempt funds of $100.00 or less and funds in excess of $100.00 may be exempt if used to offset education costs, unless used for personal needs, in which case it should be treated as unearned income.

Department/Crown:Families
Categories:Education and Training, Families, Financial Assistance
Directive 2006-56
EIA is to assist City of Winnipeg participants who have not had their water meter read in over a year.
Department/Crown:Families
Categories:Families, Financial Assistance
Directive 2007-13
The purpose of this directive is to provide EIA staff with a summary of the new approval process for the transportation of deceased participants when the funeral will be held a significant distance from the place of death.
Department/Crown:Families
Categories:Families, Financial Assistance, Transportation
Directive 2007-16
This provides staff direction to re-calculate EIA benefits each month for the duration of time that a participant provides financial documentation. 
Department/Crown:Families
Categories:Families, Financial Assistance
Directive 2007-20

Employment and Income Assistance (EIA) has signed a Memorandum of Understanding (MOU) with Manitoba Justice's Compensation for Victims of Crime (CVC) program, for an Assignment of Benefits (AOB).

Department/Crown:Families
Categories:Families, Financial Assistance
Directive 2007-25
This document clarifies that when there is no other feasible option available, EIA will provide transportation costs to participants who require assistance in attending this program and does not already have transportation allowance.
Department/Crown:Families
Categories:Families, Financial Assistance
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