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Wilfrid Laurier University Human Resources
November 25, 2015

Canadian Excellence


Employee Benefits

Benefits Enrollment/Change Form - Health & Dental benefits Only

published: 17-Apr-2008 PDF (97kb) Benefits_Enrollment_Form_-_Health_&_Dental._Revised_March_2014.pdf

This form can be used to enrol or make changes to health and dental benefits.

NOTE:This information mayalso need to be updated in other areassuch as Pension. Please refer to the Life Changes/Events page for additional information.

updated June 03/15