Manitoba
Printer Friendly

Manitoba Family Services and Labour

Set text to smallest size Set text to normal size Set text to larger size Set text to largest size

To view PDF files, you must have a copy of the Adobe Acrobat Reader which is available as a free download.

Get  Acrobat Reader

Minister's Message
Main Banner

Appendix VII - Client Identification Form

The Client Identification Form is completed and forwarded to the Community Services Delivery Division, Service Delivery Support Branch, for recording in the Central Registry. This form should be submitted:

  1. when the applicant has been determined eligible and assigned a Vocational Counsellor
  2. upon case closure
  3. upon transfer to another Vocational Counsellor
  4. upon receipt of a transfer
  5. upon re-enrolment

Once the Client Identification Form has been entered into the marketAbilities Program Registry database by Service Delivery Support, a hard copy of the Registry data is printed and forwarded to the originating office.

Changes to any of the identifying information or demographic data can be made on either the Client Identification Form or the hard copy of the Client Registry printout. Only key identifying data and the changes highlighted in red are required to amend or update client registry information.

Upon Case Closure the last section of the Client Identification form is required to be filled out and includes reason codes for case closure. The reason codes are as follows:

1. a. Employed Full time
1. b. Employed Part-time
1. c. Employed Self-Employment
2. Vocational Plan Completed
3. Disability Related Issues
4. Personal / Family Issues
5. No Contact/ Voluntary Withdrawal
6. Moved / Relocated
7. Self Directed Option
8. Referred to another Agency / Program / Service
9. Ineligible for Services / Funding
10. Deceased

WORD
Client Identification Form - new form will be available soon

116 KB, 1 page
PDF format (requires Adobe Acrobat Reader)

 

Return to the Table of Contents.