Site Accessibility Statement
Wilfrid Laurier University Human Resources
August 25, 2016
 
 
Canadian Excellence

Forms


Employee Benefits

Filter documents by:
Sort documents by: |
 
View all Employee Benefits forms
Title Form Type Authors
Beneficiary Change Form for Life Insurance Benefits PDF PDF (60k) Human Resources
Benefits Enrollment/Change Form - Full-time (Health, Dental and Insurance) PDF PDF (112k) MJUTZI
Benefits Enrollment/Change Form - Health & Dental benefits Only PDF PDF (97k) MJUTZI
Financial Assistance for Computer/Peripherals Purchase Online Online Form HR
Great West Life Evidence of Insurability Form PDF PDF (407k) GWL
Health & Dental Benefits - Out of Country/Province Claim Form PDF PDF (0b) GWL
Health & Dental Benefits - Health Care Claim Form PDF PDF (229k) GWL
Health & Dental Benefits - OHIP Authorization Form PDF PDF (0b) GWL
Health & Dental Benefits - Overage Dependent Confirmation Form PDF PDF (23k) MJUTZI
Health & Dental Benefits - Pay Direct Drug Claim Form PDF PDF (0b) GWL
Health & Dental Benefits - Request for Brand Name Drug Coverage Form PDF PDF (76k) Great West Life
Tuition Waiver Form - Employee PDF PDF (48k) MJUTZI
Tuition Waiver Form - Spouse/Dependent PDF PDF (49k) MJUTZI
View all Employee Benefits forms