Forms, Policies, and Resources
Housing
- Manitoba Housing Rental Housing Programs
 - House Rules Agreement
 - PORTABLE HOUSING BENEFIT - MENTAL HEALTH PROJECT
 - 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
 
Mental Health and Addictions
- 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
 
Homelessness
- 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
 

