Families / All Categories
Policy Manual for the 55 PLUS Income Supplement Program
Department/Crown:Families
Form required to apply for the 55 PLUS Program. To be completed by the applicant.
Department/Crown:Families
The Access to Birth Records form allows the person named on the form such as birth mother, adopted adult or birth father to apply for access to birth and adoption records that they may be eligible to receive.
Department/Crown:Families
Form to request access for research purposes to information held by the Department of Families.
Department/Crown:Families
This is a transcript of the "Accessibility for Manitobans: Everyone Benefits" online training video from the Disabilities Issues Office, outlining the basic elements of The Accessibility for Manitobans Act and Accessibility Standard for Customer Service.
Department/Crown:Families
Category:Families
Client acknowledgement of an overpayment.
Department/Crown:Families
This form is the template of an adoption placement agreement prescribed by regulation made under The Adoption Act. This agreement outlines the terms and conditions of the placement of a child in the home of a prospective adoptive parent, as agreed by the child and family services agency.
Department/Crown:Families
Category:Families
Adoption Services (Chapter 6) describes provincial standards for adoption and post-adoption services provided under The Adoption Act. The documents outline all aspects of adoption, placement, post placement and repatriation services, including procedures and requirements for applicants seeking to adopt a child in Manitoba.
Department/Crown:Families
Category:Families
This form is used to confirm that a person was served court documents. This is a statutory regulation and is embedded in The Child and Family Services Regulation. It is available at your local CFS agency.
Department/Crown:Families
Category:Families
This Affidavit of Service is a signed written record of the verbal testimony made by a process server to the Commissioner for Oaths in and for the Province of Manitoba that details the time, date, and identity of the person served with the Notice to Birth Father.
Department/Crown:Families
Category:Families
This form is used to prove that a person within an agency received court document via Canada Post. This is a statutory regulation and is embedded in The Child and Family Services Regulation.
Department/Crown:Families
The Agency Adherence Review form is used to guide an annual review of agency policies and procedures to ensure compliance with standards manuals and other applicable regulations.
The Agency Adherence Review form is used to guide an annual review of agency policies and procedures to ensure compliance with standards manuals and other applicable regulations.
The Agency Adherence Review form is used to guide an annual review of agency policies and procedures to ensure compliance with standards manuals and other applicable regulations.
The Agency Adherence Review form is used to guide an annual review of agency policies and procedures to ensure compliance with standards manuals and other applicable regulations.
The Agency Adherence Review form is used to guide an annual review of agency policies and procedures to ensure compliance with standards manuals and other applicable regulations.
The Agency Adherence Review form is used to guide an annual review of agency policies and procedures to ensure compliance with standards manuals and other applicable regulations.
The Agency Adherence Review form is used to guide an annual review of agency policies and procedures to ensure compliance with standards manuals and other applicable regulations.
The Agency Adherence Review form is used to guide an annual review of agency policies and procedures to ensure compliance with standards manuals and other applicable regulations.
The Agency Adherence Review form is used to guide an annual review of agency policies and procedures to ensure compliance with standards manuals and other applicable regulations.
The Agency Adherence Review form is used to guide an annual review of agency policies and procedures to ensure compliance with standards manuals and other applicable regulations.
When a family has applied to become a foster home four references are required under the Foster Homes Licensing Regulation. This form is used by agencies to gather that information, usually by telephone.
Department/Crown:Families
Category:Families
The Agency Program Consultation is used to guide an annual conversation with the funded agencies on topics such as board operations, human resources, service delivery and strategic planning.
Form used by child care facilities agreeing to the completion of changes required as a result of a licensing inspection, public health inspection or fire inspection.
This is a template of the Annual Report of Trust Activity form, detailing all transactions, to be completed by a trustee as part of the annual review of income of an EIA participant with a disability.
Department/Crown:Families
Annual trust exemptions report form for participants with disabilities within the Employment and Income Assistance program.
Department/Crown:Families
This form grants the consent of an EIA participant who is receiving Adult Probation Services for the use and disclosure of personal and personal health information, as part of joint planning to develop a Personal Plan. The form must be signed by the participant and Province of Manitoba staff.
Department/Crown:Families
Child Abuse Registry checks are required for people who want to provide services to or work for a child and family services agency, an adoption agency, a day care centre or a nursery school. Applicants for many other types of jobs and volunteer positions with access to children will require a registry check, too. Any adult who wants to foster or adopt a child, and any adult who will live with them, must be screened by the registry. If you are asked to provide a Child Abuse Registry check for yourself, use this form to apply for it.
Department/Crown:Families
Category:Application
For Child and Family Services Agency Use Only. Child Abuse Registry checks are required for people who want to provide services to or work for a child and family services agency, an adoption agency, a day care centre or a nursery school. Applicants for many other types of jobs and volunteer positions with access to children will require a registry check, too.
Department/Crown:Families
Child Abuse Registry checks are required for people who want to provide services to or work for a child and family services agency, an adoption agency, a day care centre or a nursery school. Applicants for many other types of jobs and volunteer positions with access to children will require a registry check, too.
Department/Crown:Families
This document is an application form with consent of an individual to conduct a Child Abuse Registry check (includes a fee payment) that is required by all persons seeking a license to operate a family or group child care home in Manitoba.
Each agency will have application to operate and maintain a children's home on their own letterhead. The application must be filled out and approved prior to a license being offered.
Department/Crown:Families
Category:Families
Not for Public Use. Application pursuant to Section 41(2) of The Adult Abuse Registry Act for access to the Adult Abuse Registry. The Adult Abuse Registry helps protect vulnerable adults by allowing employers to screen potential employees and volunteers who will work with adults specified as vulnerable under The Adult Abuse Registry Act or related laws and regulations.
Department/Crown:Families
Not for Public Use. Application pursuant to subsection 41(3) of The Adult Abuse Registry Act for access to the Adult Abuse Registry.
Department/Crown:Families
Not for Public Use. This form authorizes the Registrar of the Adult Abuse Registry to search the Adult Abuse Registry to determine if the name of a person is listed on the Registry, and further authorizes and consent to the release of this information.
Department/Crown:Families
The Adult Abuse Registry helps protect vulnerable adults by allowing employers to screen potential employees and volunteers who will work with adults specified as vulnerable under The Adult Abuse Registry Act or related laws and regulations. Application for an Adult Abuse Registry Check by Employers and Others is a form for employers and others, to check whether a person's name is in the Adult Abuse Registry, pursuant to subsection 41(4) of The Adult Abuse Registry Act for access to the Adult Abuse Registry.
Department/Crown:Families
Not for Public Use. Application for an Adult Abuse Registry Check by a Peace Officer pursuant to subsection 41(3) of The Adult Abuse Registry Act for access to the Adult Abuse Registry.
Department/Crown:Families
The Adult Abuse Registry helps protect vulnerable adults by allowing employers to screen potential employees and volunteers who will work with adults specified as vulnerable under The Adult Abuse Registry Act or related laws and regulations.
Department/Crown:Families
Category:Application
This document is an application to be completed by applicants with Early Childhood Educator (ECE) certification issued by a regulatory authority from another Province or Territory. This form must be signed and submitted with supporting ECE certification documents.
This document provides written approval from a child and family services agency to the prospective adoptive parent and birth parent/guardian, for the proposed placement of a child for the purpose of adoption.
Department/Crown:Families
Category:Families
ASSIGNMENT OF PROVINCE OF MB VICTIMS OF CRIME BENEFITS
Department/Crown:Families
This form is intended solely to supplement financial information contained in the Assignment of Support/Support Arrears and Enforcement document for any child and/or spousal support arrears that have accumulated between the below Creditor and Debtor.
Department/Crown:Families
Assignment of support/supports arrears and enforcement
Department/Crown:Families
Referral form for assistive technologies.
Department/Crown:Families
This Field Guide is a reference manual and a guide to complete the Authority Determination Protocol (ADP). The purposes of the Guide include describing procedures and / or practices that are in place because of the restructuring of the child and family service system and providing a widely available reference document. The ADP must be filled out by a caseworker with a family. This document is located in the CFSIS system and accessible to all frontline workers.
Department/Crown:Families
Category:Families
This document provides authorization of an EIA applicant (and spouse) for release of information required to determine and verify their eligibility for income assistance under The Social Allowances Act (Manitoba).
Department/Crown:Families
This form is used by people who may wish to become foster or adoptive parents. It gives consent for the Child and Family Services agency to request information about them for a specific purpose. It is an agency form located on the CFSA system.
Department/Crown:Families
Category:Families
This Employment and Income Assistance circular outlines how school supplies benefits are automated for all school-aged children younger than 16 years of age.
Department/Crown:Families
This document provides information about policies and procedures for an effective response (including prevention efforts) in the event bed bugs are found at a licensed child care facility.
The Best Practices Licensing Manual provides a general overview of Manitoba child care standards under The Community Child Care Standards Act and regulations, and additional guidelines to centres to help them understand the intent of specific regulations and describe how to meet the minimum requirements. The manual also provides well-researched ways to help improve program quality and ensure high quality early learning and child care.
The Best Practices Licensing Manual explains specific regulations and how to meet the minimum requirements and additional requirements for family and group child care providers. The manual provides the most current information on improving program quality and ensuring quality standards by using best practices, and outlines procedures and ongoing responsibilities for licensing.
This document informs licesend child care centres about requirements to ensure children's safety and well-being through use of bike helmets and booster seats.
Category:Families
This is part of the foster parent application that provides for a comprehensive history of both foster parents and their interactions. The form is generally filled out by the caseworker.
Department/Crown:Families
Request for board and room with care and supervision
Department/Crown:Families
Form used by licensed child care facilities to list a new member on the facility's board of directors, parent advisory committee or management committee.
A template for reporting funds received and spent over the term of the Service Purchase Agreement. Example included.
Department/Crown:Families
Allows for in-year amendments to the approved budget.
Department/Crown:Families
Application to apply for Bright Futures funding.
Department/Crown:Families
CAHRD reporting template for bus pass
Department/Crown:Families
This grant funding is available to support community organizations working with families in transition to ensure children can receive free of charge, stable, on-site, consistent and high quality child care while their families engage in supportive services.
| This form help inform parents and legal guardians about how and when personal information and personal health information may be shared in order to plan and provide services to their children enrolled with Children's disABILITY Services in accordance to the Protecting Children (Information Sharing) Act. |
Department/Crown:Families
| The Agreement for Self-Administered Respite Services is a contract between the Government of Manitoba and parents of a child enrolled with Children's disABILITY Services. This document describes the obligations of both parties, the term of the agreement and financial details . |
Department/Crown:Families
This policy document describes the Autism Outreach service including its eligibility criteria and the service from initial assessment, to individualized development planning and transition planning. Autism Outreach services may be provided to eligible children enrolled with Children's disABILITY Services.
Department/Crown:Families
| This policy document describes Children's disABILITY Services' child development service. The document also outlines the eligibility criteria to access child development services by children enrolled with Children's disABILITY Services. |
Department/Crown:Families
Category:Families
This document is provides caregivers with an overview of the Child Development program and it also outlines guidelines and expectations for caregivers when receiving child development services.
Department/Crown:Families
| This internal use only assessment tool is used by program staff to assess the needs of children and families enrolled with Children's disABILITY Services, as well as the factors that affect families' ability to meet those needs. |
Department/Crown:Families
The Confirmation of Attendance Form is a written record used to confirm the attendance of children enrolled with Children's disABILITY Services to appointments for disability-related professional services for the purposes of receiving transportation assistance funding. A section of this form is completed by the service provider and another section is completed by parents or guardians.
Department/Crown:Families
This policy document describes the eligibility criteria for enrolment in the Children's disABILITY Services (CDS) program.
Department/Crown:Families
This internal use form is completed by Children's disABILITY Services staff and sent to approved contractors to provide request emergency or alternative respite services on behalf of Children's disABILITY Services. Details of the individual service request (approved service data, number of hours of service, approved rates, etc.) are provided by Children's disABILITY Services staff.
Department/Crown:Families
| This document is a sample letter sent to notify families of the approval of a request for equipment for children enrolled with Children's disABILITY Services. |
Department/Crown:Families
Category:Families
This policy outlines the eligibility criteria, standards and guidelines for the provision of equipment to children enrolled with Children's disABILITY Services.
Department/Crown:Families
This document is a confidential survey requesting feedback from parents on the experience of their child as a participant of the Summer Skill Maintenance Program delivered through Children's disABILITY Services.
Department/Crown:Families
This document outlines the policy for disability-related home modifications for children enrolled with Children's disABILITY Services.
Department/Crown:Families
| This document provides procedural and policy information to parents and caregivers about how to request incontinence supplies (such as diapers and wipes) for eligible children enrolled with Children's disABILITY Services. |
Department/Crown:Families
This document is a sample of the loan agreement letter given to families when receiving equipment from the Disability and Health Supports Unit for their child enrolled with Children's disABILITY Services.
Department/Crown:Families
This form is used to apply for Children's disABILITY Services and it may be completed by a parent or legal guardian, an agency or individual that supports the family. Completed forms, along with written diagnostic assessment, are submitted to Children's disABILITY Services.
Department/Crown:Families
This document describes Children's disABILITY Services policy on respite services. The policy includes information on the program's eligibility criteria for respite services as well as the descriptions of the different ways respite services may be delivered to families raising children enrolled with Children's disABILITY Services.
Department/Crown:Families
| This internal use assessment tool is used by Children's disABILITY Services staff at intake to screen and assess the needs and resources of children and families newly opened to Children's disABILITY Services, as well as the factors that affect families' ability to meet those needs. |
Department/Crown:Families
Category:Families
This document outlines Children's disABILITY Services' policy for security checks required for persons hired to provide services to children enrolled with the program.
Department/Crown:Families
| This document outlines relevant procedural and policy information for families who have entered into a self-administered respite agreement with Children's disABILITY Services. |
Department/Crown:Families
Category:Families
| This form is completed by caregivers who have entered into a Self-Administered Service Agreement with Children's disABILITY Services to invoice for services received from the family-managed service provider. This form also requires the signature of the service provider. |
Department/Crown:Families
| This internal and agency-use only document is completed by Community Support Workers by case managers at the Society for Manitobans with Disabilities (SMD) to make service plan funding requests for children open to Children's disABILITY Services . |
Department/Crown:Families
Category:Families
This evaluation form is completed by service providers who delivered Summer Skill Maintenance programming to children enrolled with Children's disABILITY Services.
Department/Crown:Families
This policy document outlines the eligibility criteria, standards and guidelines for summer skills maintenance programming, including assessment, goal development and service planning.
Department/Crown:Families
This document is provided to school teams to request information about the needs, strengths and goals of a child enrolled with Children's disABILITY Services to help plan and provide skills-based programming during the summer.
Department/Crown:Families
This document is the template used by service providers delivering Summer Skills Maintenance programming to their record observations and reflections on the activities, goals, successes and challenges for children enrolled with Children's disABILITY Services.
Department/Crown:Families
This document is the template used by service providers to record the activities and accomplishments of children enrolled with Children's disABILITY Services, at the end of the Summer Skills Maintenance programming.
Department/Crown:Families
| This policy outlines the eligibility criteria, standards and guidelines for the provision of disposable and consumable supplies to children enrolled with Children's disABILITY Services. |
Department/Crown:Families
This document is the template of a letter sent by Children's disABILITY Services to notify families of the approval of a plan to subsidize some expenses they will incur when bringing their child to professional services that are not available in their community. Each letter will describe the details of a family's approved transportation assistance plan and it includes instructions for families on how to request reimbursement of approved travel expenses.
Department/Crown:Families
This policy document describes Children's disABILITY Services' Transportation Assistance to Access Professional Services policy. This document describes the eligibility criteria, standards and guidelines related to the provision of transportation assistance to children enrolled with Children's disABILITY Services.
Department/Crown:Families
| This form is sent to assessing clinicians to request additional information needed for determine eligibility for referral to Children's disABILITY Services. The form is only completed when insufficient assessment information accompanied the referral. |
Department/Crown:Families
Category:Families
| This document is a template of a letter sent to clinicians to request additional information from needed to determine eligibility for a child's referral to Children's disABILITY Services. The CDS - Validation of Assessment Form is also provided with this letter. |
Department/Crown:Families
Category:Families
| This document outlines Children's disABILITY Services' policy on vehicle modifications for eligible children enrolled with the program. |
Department/Crown:Families
This document is a sample of the application form, provided at the Parent Information Session only, completed by parents or guardians to apply for Autism Outreach services in Winnipeg for children enrolled with Children's disABILITY Services who have a diagnosis of autism spectrum disorder. The form asks for basic information about a child and for parental consent for the release and sharing of information.
Department/Crown:Families
Form used by child care facilities to submit annual operating budget information.
This document provides information about licensing, funding, and other practical details for groups and organizations that are interested in opening a new licensed early learning and child care centre in Manitoba.
Category:Families
The centre budget package includes financial information for child care centres about funding policies and procedures, annual budget guidelines, and audit guidelines.
This document is a written testimony of an interpreter certifying that they have read and explained the terms of an adoption-related document (prescribed by regulation), in the language of the parent/guardian of the child, prior to its execution.
Department/Crown:Families
Category:Awards
This form is used to confirm that a non English speaking person had the Voluntary Surrender of Guardianship process explained to them in their own language. It is completed by the interpreter and is a statutory regulated form embedded in The Child and Family Services Regulation.
Department/Crown:Families
Category:Families
This form authorizes the Director of Child and Family Services to update contact information of an adoptee, birth parent, birth sibling or adoptive parent for the Manitoba Post-Adoption Registry.
Department/Crown:Families
