Forms and Policies

This is the application form completed by individuals to assist the Department of Families in determining the individual's eligibility for the Community Living disABILITY Services (CLDS) program.  By completing the form, the individual authorizes the Province of Manitoba, Department of Families or its representative to obtain from any physician, hospital, school, social services agency or any relevant source, the medical, psychological or psychiatric information required for the purposes of confirming the individual's eligibility for the CLDS program.