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Wilfrid Laurier University Leaf
August 4, 2015

Canadian Excellence


Laurier Centre for Community Service-Learning

WSIB/PIC Student Declaration Form

published: 11-Sep-2006 PDF (34kb) WSIB-PIC_Coverage_Laurier_Student_Declaration_2014-01-07.pdf

All postings require that this form be completed by the first day of placement. Please return a copy of this form to the LCCSL office at 202 Regina St. North, R294. (Please note you do nottake this form with you to your placement. This form is only signed by you as the student.)

updated January 22/14