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Wilfrid Laurier University Human Resources
October 20, 2014
 
 
Canadian Excellence

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Employee Benefits

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