Housing, Addictions and Homelessness
Forms, Policies, and Resources
Housing
General
Manitoba Housing Rental Housing Programs
PORTABLE HOUSING BENEFIT - MENTAL HEALTH PROJECT
2017-18 End Homelessness Winnipeg Funding Agreement - Schedule A Amendment
MANITOBA HOUSING AND RENEWAL CORPORATION SURPLUS/DEFICIT REPORT
Manitoba Housing Annual Agency Profile
2018-19 Homeless Outreach Mentor - Schedule B
OPERATING BUDGET / STAFFING REPORT
Portable Housing Benefit Schedule A
PROJECT NORTHERN DOORWAY SCHEDULE A
NAME OF AGENCY'S EMERGENCY SHELTER AND TRANSITION (REST) PROGRAM SCHEDULE A
EMERGENCY SHELTER SCHEDULE A
Service Purchase Agreement - Non-share Corp
Portable Housing Benefit Addendum
Portable Housing Benefit Application
Portable Housing Benefit Roles and Responsibilities Factsheet
Acceptable Documentation List
Social Housing Rental Program - Additional Household Member - Application Form
Additional Household Member Not Approved - Letter
Alternate Payment Method - Letter
Application Cancelled - Ineligible - Letter
Application Pending - Barred Household Member- Letter
Application Pending - Unit Offer Refusal - Letter
Application Pending - Arrears - Letter
Application Update - Letter
Appointment - Welcome Visit - Letter
Authorization to Dispose of Abandoned Goods - Application
Authorization to Release Information
Barring Notice Form
Ceremonial Use of Tobacco Form
Manitoba Housing Commercial Parking Agreement Form
Complaint Response - Service Request - Letter
Complaint Response - Letter
Condolences For Your Loss - Letter
Default on Payment Plan by Applicant - Letter
Default on Payment Plan by Tenant - Letter
Documentation Required - Letter
Duty to Repair - Letter
Referral process for the Portable Housing Benefit (WINNIPEG ONLY)
Manitoba Housing - Tenant Initiated Transfer Fees
Flood Preparation - Letter
FOR-10 Manitoba Housing Supplementary Conditions
FOR-15 Visitor Confidentiality Agreement
FOR-16 Site Visit Attendance
FOR-17A Addendum-Delegation
FOR-1 RFT Over $10M Construction Budget Part 2-Bid Submission Rev 10
FOR-1 RFT Over $10M Construction Budget Part 1-Prequalification Rev 9
FOR-1B Request for Tenders
FOR-23 MH Supplemental Conditions - CCDC17 Stipulated Price Contract Trade Contractor
FOR-25 Purchase Order Terms and Conditions
FOR-26 Purchase Order Acknowledgement
FOR-28 Form of Agreement for Prime Consultant Services
FOR-28 Form of Agreement for Prime Consultant Services Sample
FOR-2 NRFP Prime Consultant
FOR-2A RFP Appendix 2 Submission Form
FOR-2D RFP Schedule B - Basic Services Fee Submission
FOR-30 Service Agreement
FOR-30B Snow Renewal Service Agreement
FOR-32 Selection Letter
FOR-36A Change Directive CCDC2
FOR-36C Change Directive
FOR-3 Request for Standing Offer
FOR-3B RFSO Appendix 2 - Submission Form
FOR-41 Supplier Confidentiality and Non-Disclosure Agreement
FOR-41A Supplier Confidentiality and Non-Disclosure Agreement - Delegation
FOR-46 Protection of Personal Information
FOR-49 Bailment Agreement
FOR-4 RFQ for Delegation
FOR-4B RFQ - Contract Caretaker
FOR-4C RFQ Prime Consulting Services Under $1M
FOR-4D RFQ Snow Removal Services
FOR-4E Public RFQ
FOR-57 Assignment of Agreement
FOR-59 RFP Design-Build
FOR-62 MH Supplementary Conditions CCDC 14
FOR-63 Certificate of Independent Tender Determination
FOR-73 Declaration Form Criminal Record Search and Child Abuse Registry
FOR-74 Tender Log
FOR-75 Response to Request for Tender - Failed
FOR-76 Contract Amendment Schedule
FOR-9 Contract Price Breakdown
MHRC TS Grant Application for Tenant Associations
Guest Extension Not Approved - Letter
Guest Extension Request Form
Guest Policy - Letter
A Guide to (public facing) Rental Housing Construction Tax Credit program Guide
House Rules Agreement Violation - Letter
Housing Details Form
Housing Programs Contribution Agreement
Indemnity Agreement - Authorization of Next of Kin
Ineligible Due to Household Change - Letter
Interview Confirmation - Letter
Interview Set-up - Letter
Interviewed and Ineligible (Program Income Limits) - Letter
Interviewed and Ineligible (Supports Required) - Letter
Interviewed and Approved - Letter
Keys and Access Cards Distribution Form
Live-In Caregiver Approved - Letter
Live-In Caregiver Not Approved - Letter
Live-In Caregiver Pending - Letter
Long-Term Absence Approved - Letter
Long-Term Absence Not Approved - Letter
Long-Term Absence - Letter
Letter of Appreciation - Letter
Manitoba Housing Initiated Move Form
Manitoba Housing Initiated Move - Letter
Manitoba Housing Authority - Confirmation of Tenancy
Daily Meal Sign In Sheet
Medical Information Form
INSURANCE AND RISK MANAGEMENT INCIDENT REPORTING PROCESS
Social Housing Rental Program Application Form
False Medical Alarm Warning
Tenant Exit Survey
Project Monitoring Report - Missing Information Letter
Project Monitoring Report - Satisfaction Letter
Project Monitoring - Tenant Information Form
Notice of Barring: Safety - Letter
Notice of Entry: Abandoned Unit
Notice of Entry: Ant Treatment
Notice of Entry: Precautionary Bed Bug Treatment
Notice of Entry: Cockroach Treatment
Notice of Entry: Confused Flour Beetle Treatment
Notice of Entry: Flea Treatment
Notice of Entry: Full Bed Bug Treatment
Notice to Move Out Acknowledgement - Letter
Notice to Move Out Form
Notice of Arrears - Letter
Occupants of the Rental Unit Update Form
Order to Remove Pet - Letter
Outstanding Balance Notice - Letter
Over Housed Agreement
Over or Under Housed Form
Over or Under Housed - Letter
Parking Agreement Violation - Letter
Parking Agreement
Pet Request Acknowledgement - Letter
Pet Request Approved - Letter
Pet Request Not Approved - Letter
Portable Housing Benefit Annual Reapplication Form
Audited Financial Statement Post 85
Balance Sheet Template for Sponsor Template
Schedule of Administration Expenditures For The Year Ended March 31, 2018 Template
Schedule of Repairs and Maintenance Expenditures For The Year Ended March 31, 2018 Template
Schedule of Sundry Expenditures For The Year Ended March 31, 2018 Template
Statement of Cash Flows For the Year Ended March 31, 2018 Template
Statement of Operations For the Year Ended March 31, 2018 Template
Audited Financial Statements Sponsor Template
Audited Financial Statements Urban Native Program
Economic Stimulus note for Annual Audit
Revenue Expense Template Sponsor Managed
Sponsor Management Agreement - For Operating a MHRC Project
Pre-Authorized Payment (PAP) Service Information
Preferred Location - Building Interest - Letter
Program Eligibility - Eligible - Letter
Program Eligibility - No Housing Available - Letter
Proof of Live-in Caregiver Checklist
Proof of Primary Residence
Proposal Development Funding: Application and Program Guidelines
Providing False Information - Letter
Radon Mitigation - Letter
Receipt of Application - Missing Information - Letter
Renovations and Removal of Materials Containing Asbestos - Letter
Rent Receipt - Letter
Required Documents for Rent Increase above the RTB Guideline Application
Request for a Rental Increase above the Provincial Guideline Approved - Letter
Request for a Rental Increase above the Provincial Guideline Denied - Letter
Request to Review Policy Decision - Expired - Letter
Request to Review Policy Decision - Letter
Returned Payment - Letter
Mortgage information Authorization Form
Rekey Authorization Form
Seniors Housing - Financial Assistance Agreement
Seniors Housing - Payment letter
TENANT DECLARATION AND CONSENT - RENTAL HOUSING CONSTRUCTION TAX CREDIT
Rural Homeownership Program - Tenant Application
Rural Homeownership Program - Vacant Application
Rural Homeownership Program - Tenant Evaluation Form
Rural Homeownership Program - Vacant Evaluation Form
Right of First Refusal Form
Rent Supplement Non-Profit and Co-ops Agreement template
Rent Supplement Private Sector (Refugees) Agreement template
Application for Licence to Operate Elderly Persons' Housing Units
Rent Supplement Program Application Form
Rent Supplement Application Support Documentation Checklist
Elderly & Infirm Persons' Housing Letter Awarding License
Elderly and Infirm Persons' Housing Act License
Elderly and Infirm Persons' Housing Act Licence Rejection
Elderly and Infirm Persons' Housing Act Licence Renewal Reminder
Rent Supplement Program Monthly Invoice
Rent Supplement Program Letter to Applicant
Instructions for Completing Rent Supplement Application
Rent Supplement Program Information Package
Rent Supplement Vendor Information Form
Required Documents for Rent Increase above the RTB Guideline Application
Rental Subsidy Calculation Sheet
Client Statistics for Residential Second Stage Providers
Rural Homeownership Program Statement of Income Declaration
Manitoba Housing Authority - Confirmation of Tenancy
Social Housing Rental Program Application Form
Congregate Meal Program Special Function Agreement
Spring and Summer Notice to Tenants
Secondary Suite Program Application Form
Secondary Suite Program - Letter of Approval
Secondary Suite Program - Payment Letter
Secondary Suite Program - Prequalification Letter
SHRP Statutory Declaration Form
Rural Homeownership Program - Rejection Letter
Rural Homeownership Program - Offer to Purchase (Non-Qualified)
Rural Homeownership Program - Offer to Purchase (Qualified)
Rural Homeownership Program - Letter of Approval (Tenant)
Subsidy Adjustment Approved - Letter
Subsidy Renewal - Letter
Subsidy Update Form
Subsidy Adjustment Not Approved - Letter
Subsidy Agreement
Subsidy Cancellation - Letter
Subsidy Renewal & Tenant Meeting Notice - Letter
Residential Tenancy Agreement - Letter
Tenant's Right to Cancel (Standard Residential Tenancy Agreement - for Tenancies that include Tenant Services)
Tenant Charge Back - Housed - Letter
Tenant Charge Back - Vacated - Letter
Tenant Requested Move Form
Tenant Requested Move Not Approved - Letter
Tenant Requested Move Pending - Letter
Introduction - Tenant Services Coordinator - General - Letter
Introduction - Tenant Services Coordinator - New Tenant - Letter
Transition to Private Market - Letter
Unapproved Occupant - Letter
Under Housed Agreement
Uninhabitable or Destroyed Unit Move Form
Unit Alterations Agreement
Unit Alteration Approved - Letter
Unit Alteration Not Approved - Letter
Unit Alteration Request - Letter
Unit Offer - Letter
Unit Offer Refusal by Applicant - Letter
Unit Condition Report Form
Utility Arrears - Letter
Utility Consent Form
Vacating Guidelines
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Mental Health and Addictions
General
Mental Health Act Forms Regulation, M.R. 145/99
Provincial Policy Working Group on Safety in Psychiatric Facilities
Order of Committeeship Issued by the Director of Psychiatric Services
Family Services and Consumer Affairs Circulars
Form 7 - Renewal Certificate
Rental Housing Construction Tax Credit Program Guide
2017-2018 Healthy Schools Grant Report - School Divisions
2016-2017 Healthy Schools Grant Report Schools
Housing Program Contribution Agreement - Metis Housing
Leave Certifiate or Extension of Leave
Portable Housing Benefit - Mental Health Project
Portable Housing Benefit - Mental Health Project Referral Form
Proposal Development Funding: Application and Program Guidelines
Manitoba Housing Authority - Confirmation of Tenancy
The 2016-17 Premier's Healthy Living Award For Youth - Application
Prix du premier ministre aux jeunes pour un mode de ivew sain - 2016-17 - Formulaire de mise end candidature
Cadham Provincial Laboratory 2019 Update
55 Plus Junior Assessment Manual
55 Plus Application
Hepatitis C Assistance Program - Acknowledgment and Agreement
Advanced Access Information Package
AFFIRM Retailer Subsidy Claim Form
After the Floods - What to Do When Floodwaters Recede
Age-Friendly Manitoba Initiative - Registration
Age-Friendly Manitoba Recognition - Application
Emergency Medical Services Licence Holder Application - Printable
Emergency Medical Services Licence Holder Application - Fillable
Air Quality Guidelines for Arena Operations in Manitoba
Annual Permit Application for Recreational Water Facility
Appendices 1-8 of the Commercial Prepackaged and Non-Prepackaged Water Guidelines (Volume 2)
Aeromedical Pilot Upgrade
Emergency Medical Services - Attendant Application
Emergency Medical Services - Pilot Application
Emergency Medical Services - Renewal
Application/Assessment For Long Term Care Placement
Application for Construction or Alteration of a Recreational Water Facility
Application for Drug Programs Information Network Registration
Application For Reduced Residential Charge
Application to Manitoba Hepatitis C Assistance Program
Application to Manitoba Hepatitis C Assistance Program - Physician Form
Artificial Lake Inspection Checklist
Artificial Lake Safety Guidelines
Authorization for an Additional Medication Supply for Out of Country Travel
Authorization for an Additional Medication Supply for Out of Country Travel - Declaration Form
Pharmacare Audit and Investigations - Background and Frequently Asked Questions
Bed Bug Guide - for Licenced Child Care Facilities
Les punaises de lit - guide à l'intention des garderies et des garderies familiales
Bulk Food Self Service Guidelines
Bulk Water Hauling Guidelines
Changes to Exception Drug Status (EDS) Approval Process and Expiry Dates
Children's Hearing Aid Program
Clinical Notification of Reportable Diseases and Conditions
Claims Submission Procedure - Claims with Cost Exceeding $9,999.99
Claims Submission Procedure - Dispensing Frequency
Claims Submission Procedure - Extemporaneous Products (Compounding)
Claims Submission Procedure - List of Oral Oncology Drugs Dispensed at CancerCare Manitoba
Claims Submission Procedure - Manitoba Designated Drug Shortages
Claims Submission Procedure - Methadone Update
Claims Submission Procedure - Outsourced Extemporaneous Products (Compounding)
Claims Submission Procedure - Professional Fee Cap
Claims Submission Procedure - Special Authority Compounding
Medical Equipment Device Loan Agreement
Childrens disABILITY Services Equipment Policy
External Agencies Grant Accountability Health - Authorities
Adult Immunization Record
Childhood Immunization Record
Cold Chain Failure Response Form
Adult Immunization Consent Form
Child Immunization Consent Form
2017-2018 Healthy Schools Grant Report - School Divisions
2017-2018 Healthy Schools Grant Report - Schools
Hearing Aid Claim Form
Application to Manitoba Hepatitis C Assistance Program - Physician Form for Deceased Estates Application
Application to Manitoba Hepatitis C Assistance Program - Application Form For Deceased Estates
Children's disABILITY Services Home Modification Policy
Incontinence Supplies Guide for Parents
0.4 Agreement for Funding and Participation in the Interprofessional Team Demonstration Initiative
Policy 0.5: Agreement for Funding and Participation in the Interprofessional Team Demonstration Initiative
Policy 0.6: Agreement for Funding and Participation in the Interprofessional Team Demonstration Initiative
Policy 0.8: Agreement for Funding and Participation in the Interprofessional Team Demonstration Initiative
Final Sample: Agreement for Funding and Participation in the Interprofessional Team Demonstration Initiative
Agreement for Participation in the XXX My Health Team ("MyHT") in the Health Region
Northern: Agreement for Funding and Participation in the Interprofessional Team Demonstration Initiative
Bilingual/French Requirement Nursing Position Grant
Continuing Education Committee Membership Form
Full: Application for Certification as a Hearing Aid Dealer - Printable
Student: Application for Certification as a Hearing Aid Dealer - Printable
Full: Application for Renewal of Certification as a Hearing Aid Dealer - Printable
Cold Chain Protocol - Vaccines and Biologics
Children with Sexually Transmitted Diseases
Amebiasis Reporting and Case Investigation
Anaplasmosis (Human Granulocytic Anaplasmosis)
Anthrax Reporting and Case Investigation
Clostridioides difficile Infection
Babesiosis (Human Babesiosis)
Blastomycosis Reporting and Case Investigation
Botulism Case Management
Brucellosis
Campylobacter Infection (Campylobacteriosis) Reporting and Case Investigation
Chancroid Reporting and Case Investigation
Chlamydia (Chlamydia trachomatis) Infection
Cholera
CHIROPRACTIC PREAUTHORIZATION FORM
Drug Program Changes: OxyContin
Assistive Technology Referral Form
Communication Devices Program - Rental Fees for EIA Participants
Changes to the provision of customized seating for wheelchairs
Provision of Wheelchairs - Administrative Process
Children's disABILITY Services Supplies Policy
Winnipeg: My Health Team Agreement
EMS Personnel Code of Ethics
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Homelessness
General
2009 Emergency Shelter Manual
2009 Emergency Shelter Standards
2017-18 End Homelessness Winnipeg Funding Agreement - Schedule A Amendment
2018-19 Operating Budget / Staffing Report
2018-19 Homeless Outreach Mentor - Schedule B
2018-19 Annual Program Monitoring Report - Homeless Outreach Mentor
2018 Homeless Outreach Mentor Service Provider Monthly Statistics Report
55 Plus Junior Assessment Manual
55 Plus Application
Access To Information For Research - Request Form
Acknowledgement of Overpayment
Accessibility for Manitobans: Everyone Benefits Online Training Transcript
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