Back to Work Manitoba Application Form

Please review the Program Guidelines prior to completing this application. Please do not submit a new or revised application if you have previously submitted one. If you have already applied to the program and need to amend the information in your application, please contact ITESinfo@gov.mb.ca. If you have any questions, or have unique circumstances you would like to review, please email mgi@gov.mb.ca

Legal action may be pursued in cases of fraudulent applications.

Section 1 - Applicant Information

Section 2 - Position Information

Section 3 - Employer Information

Employer Address

Employer Mailing Address

Section 4 - Organization Information

Section 5 - Payment Information - Business Bank Account

Banking information is optional when submitting the eform, department staff will follow up with applicants at a later date to collect this information if not provided

Please note:

  • Incorrect Information may result in processing delays.
  • Please provide information for the business bank account.
  • Bank Accounts must be in Canadian banks.


Bank cheque

Section 6 - Declaration of Eligibility

  1. My business/organization is a permanent and Manitoba-based, operating in the Province of Manitoba.
  2. My business/organization does not have an active Manitoba Business Start Loan Guarantee, a loan under the Manitoba Industrial Opportunities Program, or an agreement under The Community Revitalization Tax Increment Financing Act.
  3. My business/organization was not in arrears for taxes owing to Manitoba on March 20, 2020 (i.e., before the state of emergency).
  4. My business/organization is in good standing with the Manitoba Companies Office (not required for a sole proprietor).
  5. My business/organization is not a multilevel marketing business or a passive business/corporate entity that does not exist for the purpose of carrying out an active business in Manitoba;
  6. My business/organization has an active and valid business number, business bank account, and email address.
  7. My business/organization will follow Manitoba’s COVID-19 public health guidelines for the workplace.
  8. My business/organization will comply with all federal, provincial and municipal laws and regulatory requirements.
  9. My business/organization is not and will not be receiving any other government support for any positions subsidized under this program. This includes, but is not limited to, the Canada Summer Jobs Grant, Green Team Program, Back to Work this Summer Program, Manitoba Summer Student Recovery Jobs Program and Canada Emergency Wage Subsidy.
    Important Note: Employers that have already benefitted from provincial wage subsidies are eligible for this new program to hire or bring back an additional 20 employees. Employers may also rehire student employees that they previously employed under a summer wage subsidy program. To be eligible, the student must have been laid off and rehired on or after September 14, 2020.
  10. My business/organization will maintain complete and correct payroll, employment and accounting records, financial documents and other records for each worker hired under this program.
  11. My business/organization will not hire an immediate family member for any positions I am requesting funding for.
  12. My business/organization will not request funding for any existing workers. The worker may be a previous employee laid-off due to COVID-19 provided they had not been re-hired prior to July 16, 2020, or a new employee, and will not displace any existing workers.
  13. The application is not for a political party, or a public sector employer including public health, educational institution, municipal/provincial/federal government or agency.

Section 7 - Employer Authorization

The information you have provided is protected under Freedom of Information and Protection of Privacy Act of Manitoba and will be used to determine your eligibility for the Back to Work Manitoba Program and other Manitoba government programs, and for administration, accountability and evaluation/research purposes.