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Wilfrid Laurier University Human Resources
April 25, 2017
Canadian Excellence


Employee Benefits

Benefits Enrollment/Change Form - Full-time (Health, Dental and Insurance)

published: 17-Apr-2008    PDF (112kb)    Benefits_Enrollment_Form_-_Full-time_with_life_insurance._Revised_September_2013.pdf

Full-time staff and faculty should use this form to enrol or make changes to health, dental and life insurance benefits (e.g. beneficiary changes, name change, etc.).

NOTE:  This information may also need to be updated in other areas such as Pension.  Please refer to the Life Changes/Events page for additional information.


updated June 03/15