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Wilfrid Laurier University Human Resources
December 8, 2016
 
 
Canadian Excellence

Forms

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 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