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Families / All Categories

EIA Policy Manual -Section 7 (Persons with Disabilities)
This section informs EIA applicants about Income Assistance for Persons with Disabilities (IAPD). It provides details about who can apply, the EIA disability assessment procedure, the Employability Assistance for People with Disabilities Program (EAPD), and financial supports for volunteerism activities.

Department/Crown:Families
Categories:Families, Financial Assistance
EIA Support Arrears
This form is to be completed for the assignment of support/supports arrears and enforcement.
Department/Crown:Families
Categories:Families, Financial Assistance
ELCC Age Exemption Request - Centre Policies
This document describes standards and procedures for ELCC Program staff when responding to a licensed child care centre request for an age exemption.
Departments/Crowns:Education, Families
Categories:Families, Licence
ELCC Age Exemption Requests - Home Policies
This document describes standards and procedures for ELCC Program staff when responding to a licensed child care home request for an age exemption.
Departments/Crowns:Education, Families
Categories:Families, Licence
ELCC Circle of Security Attendance Sheet, ELCC Circle of Security Group Request Form

ELCC Circle of Security Group Request Form - Form for a child care facility to request Circle of Security training.

ELCC Circle of Security Attendance Sheet - Form for Circle of Security facilitator to track attendance at training session to submit to the ELCC Program.

Department/Crown:Families
ELCC Policy - Age Exemption Request for an Infant Child Less than 12 Weeks of Age
This document provides step-by-step procedures to request an age exemption for a child less than 12 weeks of age to attend a Manitoba licensed child care centre.
Departments/Crowns:Education, Families
Categories:Application, Families
ELCC Program Centre Age Exemption Request Form
Fillable age exemption request form that licensed child care facilities use to request age exemptions to meet the needs of families requiring childcare. 
Departments/Crowns:Education, Families
Categories:Application, Families
ELCC Program Home Age Exemption Request Form
Fillable age exemption request form that licensed home based child care providers complete to have a kindergarten child considered a school age child. 
Departments/Crowns:Education, Families
Categories:Application, Families
ELCC Provider Letter - Age Exemption Form
Letter to family and group child care home providers introducing the Age Exemption Request form.
Departments/Crowns:Education, Families
Categories:Families, Licence
ELCC Summer Pkg - Enhanced Experiences and Outings Information Sheet
This information sheet is to inform licensed child care facilities about safety precautions and procedures for enhanced experiences and outings.
Departments/Crowns:Education, Families
Categories:Families, Licence, Outdoors and Parks
ELCC Summer Pkg - Field Trips Information Sheet
This information sheet is to inform licensed child care facilities about field trip safety precautions and procedures.
Departments/Crowns:Education, Families
Categories:Families, Licence, Outdoors and Parks
ELCC Summer Pkg - Letter from Manitoba Health, Seniors and Active Living

The purpose of this letter is to notify child care facilities of consistent, province-wide requirements regarding the use of recreational water, including but not limited to residential in-ground and above-ground swimming pools, portable pools, "kiddie" or inflatable wading pools, hydro-massage pools, hot tubs, and spas in licensed child care facilities.

Departments/Crowns:Education, Families
Categories:Families, Health, Licence, Outdoors and Parks
ELCC Summer Pkg - Summer Safety Letter
This letter is to remind licensed child care facilities of the need for diligence, caution and enhanced supervision when caring for children involved in water activities and when taking children outdoors, on outings and/or field trips.
Departments/Crowns:Education, Families
Categories:Families, Licence, Outdoors and Parks
ELCC Summer Pkg - Sun Safety Information Sheet
This information sheet is to inform licensed child care facilities about sun safety precautions and procedures.
Departments/Crowns:Education, Families
Categories:Families, Licence, Outdoors and Parks
ELCC Summer Pkg - Water Safety Information Sheet
This information sheet is to inform licensed child care facilities about water safety precautions and procedures.
Departments/Crowns:Education, Families
Categories:Families, Licence, Outdoors and Parks
Emergency Homeless Shelter Manual
Policy manual for funded Emergency Shelters.
Department/Crown:Families
Emergency Homeless Shelter Standards
Procedure manual for funded Emergency Shelters
Department/Crown:Families
Emergency Shelter Operating Budget Staffing Report
Manitoba Housing Excel template: annual financial report on budget related to program and staffing costs for emergency shelter.
Department/Crown:Families
Employee Tips (Accessibility Standard for Customer Service)
This guide provides tips for employees of service organizations on how to remove barriers their customers may face in accessing goods and services, offering support toward meeting the requirements of the Accessibility Standard for Customer Service.
Department/Crown:Families
Category:Families
Employer's Handbook (Accessibility Standard for Customer Service)
This is a handbook to support employers within public sector, businesses and non-profit organizations in meeting the requirements of the Accessibility Standard for Customer Service.
Department/Crown:Families
Category:Families
Employment and Income Assistance (EIA) Policy Manual - Section 6 (Purpose of Employment and Income Assistance)
This document provides potential applicants with basic information required to apply for EIA. The policy describes the intake process and criteria that must be met before an applicant is eligible for EIA assistance. 
Department/Crown:Families
Categories:Families, Financial Assistance
Employment and Income Assistance Application - Households with Two Adults
This is a template of the EIA application form to be completed by a household with two adults. Information about education and training, employment history and the personal job plan must be completed for each adult applicant, in coordination with EIA staff.
Department/Crown:Families
Categories:Application, Families, Financial Assistance
Employment and Income Assistance Application - Single Applicants and Single-Parent Applicants)
This is a template of the EIA application form to be completed by single or single-parent applicants. This document is to be completed by a prospective applicant, in coordination with EIA staff.  
Department/Crown:Families
Categories:Application, Families, Financial Assistance
Employment and Income Assistance Application Renewal
This is a template of the Employment and Income Assistance Application Renewal form that needs to be completed when reapplying to the EIA program. This document is added to the original EIA application of the former participant. 
Department/Crown:Families
Categories:Families, Financial Assistance
Employment and Income Assistance Application to add Dependents
This is a template of the Employment and Income Application form to add dependent child/children to an EIA household. This document is added to the original EIA application form submitted by the applicant (and spouse).
Department/Crown:Families
Categories:Families, Financial Assistance
Employment and Income Assistance Employability Assessment
This is a template of a detailed employment assessment form for EIA staff to complete during an interview of an EIA participant to help assess and determine employment readiness.
Department/Crown:Families
Categories:Employment, Families, Financial Assistance
End Homelessness Winnipeg Funding Agreement - Schedule A Amendment
Description of program expectations and outcomes related to funding for End Homelessness Winnipeg.
Department/Crown:Families
ERS2 Letter - ERS Invite
Invite letter to Eligibility Review Session.
Department/Crown:Families
Categories:Families, Financial Assistance
Everyone Matters: Facilitator's Guide
Everyone Matters is a school-based suicide prevention initiative. The facilitator's guide supports facilitators in administering the program. 
Department/Crown:Families
Categories:Education and Training, Health, Healthy Living
Excess Rent Form

This form gives authorization for the EIA program to pay full rent directly to the landlord on behalf of an EIA particpant.  When signed, this form confirms that the EIA participant's monthly basic needs benefit will be reduced to pay the full rent amount. 

Department/Crown:Families
Facility Child Attendance Report
This document is a template of a child attendance report for all licensed child care facilities that is a required part of financial reporting. The form describes fees paid at the facility according to space type and itemized information about attendance of each child, according to the reporting period noted. 
Departments/Crowns:Education, Families
Category:Families
Fair Practices Office - Policy and Procedures
This policy document describes the standards, procedures and complaints resolution process used by the Fair Practices Office to improve overall service capacity of four designated programs - Employment and Income Assistance, Community Living disABILITY Services, Children's DisABILITY Services, and Early Learning and Child Care (subsidy only) - and work to promote the concept of Fair Practices.
Department/Crown:Families
Categories:Families, Financial Assistance
Fair Practices Office Complaint (Intake) Form
This form is used to record details of a complaint about fair treatment from a person applying for, or receiving services from four designated programs - Employment and Income Assistance, Community Living disABILITY Services, Children's DisABILITY Services, and Early Learning and Child Care (subsidy only). This document authorizes the Fair Practices Office (FPO) to access any personal information and personal health information needed to complete an investigation, including consent to discuss the case with an advocate.
Department/Crown:Families
Families Research Policy and Procedures
This document provides Department of Families Research Policy and Procedures to guide research agreements between the department and researchers/post-secondary institutions.
Department/Crown:Families
Category:Families
Family Support Service Agreement (CFS-5)
Under the Child and Family Services Act, Subsection 15(2) Financial information and maintenance agreement the agency shall request the parent or guardian to agrees to pay to the agency maintenance for the child in accordance with the regulations .  This form must not  be changed other than by an amendment to the regulation. This is an agency form and is filled out by a case worker.
Department/Crown:Families
Category:Families
Family Violence Prevention Program (FVPP) - Standards Manual for Shelters
The standards manual outlines minimum requirements for all women's shelters in receipt of public funds in the form of core grants provided by the Government of Manitoba.
Departments/Crowns:Conservation and Climate, Families, Sport, Culture and Heritage
Family/Group Child Care Home Operating Grant Application
Form required for family or group child care providers to apply for operating grant funding.
Departments/Crowns:Education, Families
Categories:Families, Financial Assistance
FASD Evaluation Manual for Service Providers
This guide provides the programs involved in the evaluation of Manitoba's FASD Strategy with information on the purpose of the evaluation and how to fill out the required forms.
Department/Crown:Families
Fire Health Inspection Request Form
This document is the template for a Fire Inspection or Public Health Inspection Request Form that is required by all  ELCC licensed child care centres, family and group child care providers.
Departments/Crowns:Education, Families
Categories:Families, Licence
FNIN Letter - Mass Notification FNIHB
Mass notification letter regarding insured health benefits.
Department/Crown:Families
Categories:Families, Financial Assistance
Focus on Employment Referral Form
This document is a referral form for an EIA participant with a disability or disability related barriers to employment to apply for employment supports provided by Focus on Employment Inc. (Swan River, Manitoba).
Department/Crown:Families
Categories:Employment, Families, Financial Assistance
Form CA-1 Notice of Opportunity to Provide Information
Not for Public Use.  Form CA-1 Notice of Opportunity to Provide Information is a form in the Child Abuse Regulation Schedule, as provided in subsection 11(1), that the child abuse committee is to give a person who is suspected of having abused a child an opportunity to provide information to the committee by giving the person a copy of this form.
Department/Crown:Families
Category:Families
Form CA-2 Affidavit of Service of Notice of Opportunity to Provide Information
Not for Public Use.  Form CA-2 Affidavit of Service of Notice of Opportunity to Provide Information must be completed when a Notice is given in accordance with subsection 11(5) of the Child Abuse Regulation. 
Department/Crown:Families
Category:Families
Form CA-3 Notice of Intended Entry on Child Abuse Registry
Not for Public Use.  Form CA-3 provides the person to whom it is addressed of Notice of Intended Entry on the Child Abuse Registry in accordance with subsection 19(3) of The Child and Family Services Act.  CA-3 is a form (pages 19 to 20) in the Child Abuse Regulation Schedule. 
Department/Crown:Families
Category:Families
Form CFS-17
This form is to notify a parent or guardian of when their next court date is.This is a statutory regulated form embedded in The Child and Family Services Regulation, This is a form used by the agency.
Department/Crown:Families
Category:Families
Forty Hour Course Options for Child Care Assistants and Home-Based Child Care Providers
In Manitoba, all Child Care Assistants and licensed home-based child care providers are required to complete a 40 hour course related to early childhood education within the first year of employment. This web page describes options for completing the required 40 hour course.
Departments/Crowns:Education, Families
Category:Education and Training
Foster Children Application Form
Application form to be completed by a Child and Family Services social worker to apply for child care subsidy for a foster child.
Departments/Crowns:Education, Families
Categories:Families, Financial Assistance, Youth
Foster Family Manual
The foster family manual contains information that you need to know in your role as a foster parent.
Department/Crown:Families
Category:Families
Foster Family Questionnaire
This is the second part of the foster family application that explores relationships with children, discipline, neighbour hood and requests additional information. This form is to be filled out with a casework on the agency letterhead.
Department/Crown:Families
Category:Families
Foster Family Release of Information Form
When a foster family changes agencies and/or Authorities, they fill out this form so that all the information in their foster family file can be forwarded to the new agency. This form is located on the CFSIS system and the caseworker will download on agency letterhead.
Department/Crown:Families
Category:Families
Foster Family Transfer Agreement Form
This form is an internal form used when a foster family moves from one agency to another. It gives permission to transfer the foster home license to another agency.
Department/Crown:Families
Category:Families
Foster Home Review/Relicensing Guidelines
Annually the foster home license must be renewed. Each agency has their own forms on their letterhead which the foster home worker will fill out with the foster parents.
Department/Crown:Families
Categories:Application, Families
Foster Parent Intentional Damage Compensation Plan and Form

The plan provides coverage for intentional damage occurring in foster homes. Coverage applies to the property of home operators or to the property of others in care, custody and control of the foster home.

Department/Crown:Families
Categories:Application, Families
Frequently Asked Questions (Accessibility Standard for Customer Service)
This document provides frequently asked questions and answers on the Accessibility Standard for Customer Service.
Department/Crown:Families
Category:Families
Funding Policies and Procedures :Family/Group Child Care
This document describes guidelines and the application form required for licensed family and group child centres to apply for an ELCC operating grant.
Departments/Crowns:Education, Families
Categories:Families, Financial Assistance
Funeral Invoice Schedule B
Invoice used by Funeral Directors for services covered by EIA.
Department/Crown:Families
Categories:Families, Financial Assistance
FVPP Statistical Report for the Couple's Counselling Project

This form is used by the Couples Counselling Project to report statistical data on a quarterly basis.

Departments/Crowns:Conservation and Climate, Families
FVPP - Standards Manual for Access Exchange Programs
The standards manual outlines minimum requirements for access exchange programs in receipt of public funds in the form of core grants provided by the Government of Manitoba.
Departments/Crowns:Conservation and Climate, Families
FVPP - Standards Manual for MaMaWi

The standards manual outlines minimum requirements for the Ma Mawi Wi Chi Itata Centre Spirit of Peace Program which receives public funds in the form of core grants provided by the Government of Manitoba.

Departments/Crowns:Conservation and Climate, Families
FVPP - Standards Manual for MAPS (Men Are Part of the Solution)

The standards manual outlines minimum requirements for the MAPS (Men Are Part of the Solution) organization, which receives public funds in the form of core grants provided by the Government of Manitoba.

Departments/Crowns:Conservation and Climate, Families
FVPP - Standards Manual for Nor'West Community Health Centre

The standards manual outlines minimum requirements for Nor'West Community Health Centre, which receives public funds in the form of core grants provided by the Government of Manitoba.

Departments/Crowns:Conservation and Climate, Families
FVPP - Standards Manual for Residential Second Stage Programs

The standards manual outlines minimum requirements for all second stage facilities in receipt of public funds in the form of core grants provided by the Government of Manitoba.

Departments/Crowns:Conservation and Climate, Families
FVPP - Standards Manual for TLC (The Laurel Centre)

The standards manual outlines minimum requirements for The Laurel Centre, which receives public funds in the form of core grants provided by the Government of Manitoba.

Departments/Crowns:Conservation and Climate, Families
FVPP - Standards Manual for Wahbung Abinoonjiiag

The standards manual outlines minimum requirements for Wahbung Abinoonjiiag which receives public funds in the form of core grants provided by the Government of Manitoba.

Departments/Crowns:Conservation and Climate, Families
FVPP - Standards Manual for Women's Resource Centres

The standards manual outlines minimum requirements for women's resource centres in receipt of public funds in the form of core grants provided by the Government of Manitoba.

Departments/Crowns:Conservation and Climate, Families
FVPP - Standards Manual for Women's Resource Centres with Residential Services

The standards manual outlines minimum requirements for women's resource centres with residential services in receipt of public funds in the form of core grants provided by the Government of Manitoba.

Departments/Crowns:Conservation and Climate, Families
FVPP - Supervised Access/Exchange Service Statistical Report

This form is used by Access Exchange Programs to report statistical data on a quarterly basis.

Departments/Crowns:Conservation and Climate, Families
FVPP - Urban Support Program Statistical Report

This form is used by Urban Support Programs to report statistical data on a quarterly basis.

Departments/Crowns:Conservation and Climate, Families
FVPP A Woman's Place Statistical Report

This form is used by A Woman's Place to report statistical data on a quarterly basis.

Departments/Crowns:Conservation and Climate, Families
FVPP Client Statistics for Residential Second Stage Housing Providers

This form is used by Second Stage Service Providers to report statistical data on a quarterly basis.

Departments/Crowns:Conservation and Climate, Families
FVPP Couple's Counselling Program Statistical Report YWCA of Brandon

This form is used by the YWCA Brandon to report statistical data on a quarterly basis.

Departments/Crowns:Conservation and Climate, Families
FVPP Shelter to Shelter Transfer

This form is used by women's shelters when arranging a transfer of a client to another women's shelter.

Departments/Crowns:Conservation and Climate, Families
Grab Bar & Transfer Pole Installation Fax Form
Grab bar and transfer pole installation form.
Department/Crown:Families
Categories:Families, Financial Assistance, Health
Guide (public facing) Rental Housing Construction Tax Credit program Guide
A guide to the rental housing construction tax credit program
Department/Crown:Families
Category:Housing and Property
Guide for Public Sector Organizations
This guide was created by the Disabilities Issues Office to help Manitoba public sector agencies develop an accessibility plan, in compliance with The Accessibility for Manitobans Act.
Department/Crown:Families
Guide to the Inclusion Support Program
This is a detailed guide informing parents and staff at child care centres, nursery schools, and family and group child care homes about all aspects of the Inclusion Support Program (ISP). The ISP program, guided by an Individual Program Plan reduces or eliminates barriers so that children with additional support needs are able to meaningfully participate in licensed child care programming.
Departments/Crowns:Education, Families
Category:Families
Guidelines for Completion of the Families First Home Visitor Log
An internal document for public health outlining the process to complete the Families First screen form.
Departments/Crowns:Families, Health and Seniors Care
Guidelines for Completion of the Families First Screening Process
This is an internal document for public health that outlines the process to complete the Families First screen form.
Departments/Crowns:Families, Health and Seniors Care
Guidelines for Extended Hour Child Care Services for Day Care Centres and Family Day Care Homes
This document informs licensed child care facilities how to request extended hour child care service for families, beyond the normal operating hours of a child care facility, including evening, overnight and weekend care.
Departments/Crowns:Education, Families
Category:Families
HCMO Cash flow & Expenditure Report #1
Projection of cash flow for the fiscal year for community agencies/individuals who have a Service Purchase Agreement with Healthy Child Manitoba Office. This form is due at the beginning of each fiscal period. 
Department/Crown:Families
Category:Business
HCMO Cash flow & Expenditure Report #2
6 month reporting of actual expenditures with a projection to the year's end. This financial report is completed by community agencies/individuals who have a Service Purchase Agreement with Healthy Child Manitoba Office. 
Department/Crown:Families
Category:Business
HCMO Cash flow & Expenditure Report #3
Year end final report of actual expenditures. This form is completed by community agencies/individuals who have a Service Purchase Agreement with Healthy Child Manitoba Office. It reflects the projection and actual expenditures for the entire fiscal year and is due at the end of each year. 
Department/Crown:Families
Category:Business
HCMO Organizational Identifying Info
A form filled out by HCMO funded agencies to provide information on their organizational structure. 
Department/Crown:Families
Category:Business
HCMO Program Progress Report
A report completed by funded agencies detailing the progress/activities completed under the terms of their Service Purchase Agreement. 
Department/Crown:Families
Category:Business
HCMO Reporting Schedule - Healthy Baby/Funded Agencies
Form issued on a yearly basis to inform funded agencies of the timelines for completing Healthy Baby program and financial reporting (as outlined in the SPA). 
Department/Crown:Families
HCMO Staffing Report
A form filled out by HCMO funded agencies to report the number of staff employed in their funded programs and their respective classifications. 
Department/Crown:Families
Category:Business
Healthy Baby - Participant Contact Form
Form for Healthy Baby Community Support Program service providers to complete when contact has been made with Manitoba Prenatal Benefit applicants who've signed a consent to be contacted.
Department/Crown:Families
Healthy Baby Community Program Guide
Comprehensive document that directs and guides the administrative and service delivery priorities for funded agencies who provide HB programming in the province. Core program elements, standards and research/evidence based practice ensure consistent application meeting the needs of participants, service providers and government. 
Department/Crown:Families
Healthy Baby Letter - Application reassessment
Letter to applicant confirming request for re-assessment based on change in current year income. This letter requests statements of current year earnings and explanation as to why income has dropped.
Department/Crown:Families
Healthy Baby Letter - Approval
Letter to applicant confirming approval of Prenatal Benefits.
Department/Crown:Families
Healthy Baby Letter - CYA Approval
Letter to applicant to advise of benefit approval upon receipt of current year income information.
Department/Crown:Families
Healthy Baby Letter - Had Baby
Letter to applicant to advise of file closure due to early birth.
Department/Crown:Families
Healthy Baby Letter - Rejection Current Year Income
Rejection notification letter to applicant explaining that current year income totalled more than $32,000.
Department/Crown:Families
Healthy Baby Letter: Notice of Assessment
Letter to applicant requesting Notice of Assessment to meet eligibly requirement.
Department/Crown:Families
Healthy Baby Postnatal Attendance & Infant Feeding
Data collection form Healthy Baby participants complete related to infant feeding and tracking their attendance at a Healthy Baby program (as outlined in the SPA).
Department/Crown:Families
Healthy Baby Prenatal Attendance
Data collection form Healthy Baby prenatal program participants complete to track their attendance at a Healthy Baby program (as outlined in the SPA).
Department/Crown:Families
Healthy Baby Program Budget Notes
This is a form that funded agencies who provide Healthy Baby complete on a yearly basis to inform Healthy Child Manitoba Office of projected costs related to program operations. 
Department/Crown:Families
Category:Business
Healthy Baby Session Tracking Sheet
Data collection form Healthy Baby service providers complete after each Healthy Baby session to detail program participation and activities (topics, milk coupon program etc.).
Department/Crown:Families
Healthy Baby: Manitoba Prenatal Benefit Application
Application form for the Manitoba Prenatal Benefit
Department/Crown:Families
Healthy Baby: We're Glad You're Here Postnatal
Data collection form Healthy Baby postnatal program participants complete when they attend a Healthy Baby program (as outlined in the SPA)
Department/Crown:Families
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