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Wilfrid Laurier University Human Resources
June 27, 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