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Wilfrid Laurier University Human Resources
April 19, 2014
 
 
Canadian Excellence

Forms

Employee Benefits

Health & Dental Benefits - Out of Country/Province Claim Form


published: 07-Feb-2008    PDF (55kb)    GWL_Out_of_Country_Claim_Form.pdf

The Out of Country claim form should be used to get reimbursed for any eligible out of country or province emeregency medical or dental expenses.  The OHIP Authorization form must be submitted with this form.

 
 

updated December 07/12