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Wilfrid Laurier University Human Resources
October 21, 2016
Canadian Excellence


Employee Benefits

Beneficiary Change Form for Life Insurance Benefits

published: 03-Jan-2012    PDF (60kb)    Beneficiary_Information_Form_-_Revised_September_2013.pdf

Beneficiary Change form to update beneficiary information for Basic Life, Optional Life, and/or Accidental Death & Dismemberment insurance.  If you are unsure of the insurance coverage you have, please contact Human Resources.

NOTE:  This will not update your pension beneficiaries.  To update Pension beneficiary information, please see


updated October 21/13