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Wilfrid Laurier University Human Resources
April 23, 2014
 
 
Canadian Excellence

Forms

Employee Benefits

Health & Dental Benefits - Health Care Claim Form


published: 07-Feb-2008    PDF (229kb)    Health_Expense_Statement.pdf

The Health Care Expense Statement can be used to submit all health care claims (including vision care) to Great West Life for reimbursement.  Claims can be submitted directly to Great West Life at the address listed on the form.  When submitting claims, it is always a good idea to keep a copy of the receipt for your own records.

 
 

updated December 07/12