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Wilfrid Laurier University Laurier Brantford
April 24, 2014
Canadian Excellence


Registrarial Services Brantford

Laurier Brantford Outside Agency Form Completion Request

published: 29-Aug-2012    PDF (652kb)    Outside_Agency_Forms_BR_Sep_2012.pdf

If you have an outside agency form that requires a signature, stamp or seal please bring it to GRH 202. The cost is $6.00 and must be presented when the form is dropped off.  Forms will not be processed until payment is received.

Note: Effective Jan 1, 2014 there will be no charge for 'Canada Pension Plan Child's Benefit' or 'Canada Pension Plan Disability Benefit' forms.

If you are not on campus, please complete the Laurier Brantford Outside Agency Form Completion request and mail or fax to:

Laurier Brantford
Attention: Service Laurier Brantford
73 George Street
Brantford, ON, N3T 2Y3

FAX: 519.756.0379

In your package, please include the Laurier Brantford Outside Agency Form Completion request, the form that must be completed, and payment of $6.00.

Documents that have been requested, but not picked up, will be destroyed after 90 days and will need to be re-ordered.

If you have any questions, please do not hesitate to contact us by e-mail at or by phone at 519.756.8228 ext. 5885.


updated January 08/14