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Manitoba Education

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  • General Enquiries
    Program and Student Services
    Manitoba Education
    Telephone: 204-945-7907
    Toll Free in Manitoba:
    1-800-282-8069, ext. 7907
    Email: pssbinfo@gov.mb.ca
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Student Services/Special Education

Forms

The following table contains electronic forms or protocols provided by the Program and Student Services Branch that can be downloaded for immediate use or can be saved onto your computer for continued use. To save the electronic forms directly onto your computer, right click on the links on the right hand side and select "Save Target as..."

The forms come in various formats and some come in more than one format. You can download the format you desire by clicking on the PDF, Open, Form, or Excel link. The content for each these formats are described below.

 
Word Icon WORD
Adobe Icon PDF
Blind and Visually Impaired Forms    
Referral Form for Service
Eye Report for Children with Visual Problems


Categorical Grant Forms
   
School Division Planning Template 2012-13
 
School Planning Template 2012-13
 


Deaf and Hard of Hearing Forms
   
MSD Visit Request Form
 
Outreach Referral Form
 

Low Incidence Level 2 and Level 3 Funding Forms    
Attendance Summary Information
Attendance Summary Form
EBD Level 3 Funding Application and Consent Form
Level 2 & 3 Funding Application and Consent Form
 
Level 2 & 3: Divisional Summary Form
Level 2 & 3: Transfer Notification Form
URIS Group A Funding Application
URIS Group B Funding Application
Request for Additional Information
Re-Read Request
Funding Decision Form


The formats provided by specific links are described below:

Adobe Icon PDF links provide formats that can be printed for distribution or for completion by hand. If you require a recent version of Adobe Acrobat Reader click here.

Word Icon Word links provide formats that can be completed directly on the computer as a template. They require Microsoft Word 97 or later or a program that can accurately translate this format.

Zip Icon ZIP links provide compressed files that can be downloaded using WinZip.