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Wilfrid Laurier University Human Resources
December 20, 2014

Canadian Excellence

Forms


Employee Benefits

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Title FormType Authors
Beneficiary Change Form for Life Insurance Benefits PDFPDF (60k) Human Resources
Benefits Enrollment/Change Form - Full-time (Health, Dental and Insurance) PDFPDF (78k) MJUTZI
Benefits Enrollment/Change Form - Health & Dental benefits Only PDFPDF (74k) MJUTZI
Financial Assistance for Computer/Peripherals Purchase OnlineOnline Form HR
Great West Life Evidence of Insurability Form PDFPDF (398k) GWL
Health & Dental Benefits - Out of Country/Province Claim Form PDFPDF (55k) GWL
Health & Dental Benefits - Dental Claim Form PDFPDF (121k) GWL
Health & Dental Benefits - Health Care Claim Form PDFPDF (229k) GWL
Health & Dental Benefits - OHIP Authorization Form PDFPDF (51k) GWL
Health & Dental Benefits - Overage Dependent Confirmation Form PDFPDF (23k) MJUTZI
Health & Dental Benefits - Pay Direct Drug Claim Form PDFPDF (57k) GWL
Health & Dental Benefits - Request for Brand Name Drug Coverage Form PDFPDF (76k) Great West Life
Tuition Waiver Form - Contract Academic Staff PDFPDF (873k) HR
Tuition Waiver Form - Employee PDFPDF (27k) MJUTZI
Tuition Waiver Form - Spouse/Dependent PDFPDF (27k) MJUTZI
View all Employee Benefits forms