Site Accessibility Statement
Wilfrid Laurier University Human Resources
April 19, 2014
 
 
Canadian Excellence

Forms

Employee Benefits

Health & Dental Benefits - Dental Claim Form


published: 07-Feb-2008    PDF (121kb)    GWL_Standard_Dental_Claim_Form.pdf

The Dental claim form should be used for any dental claim or predetermination that was not submitted electronically by your dentist.

 
 

updated December 07/12