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Wilfrid Laurier University Human Resources
October 31, 2014

Canadian Excellence

Forms

Employee Benefits

Health & Dental Benefits - Health Care Claim Form


published: 07-Feb-2008 PDF (229kb) Health_Expense_Statement.pdf

The Health Care Expense Statementcan be used to submitall health care claims (including vision care)to Great West Life forreimbursement. Claims can be submitted directly to Great West Life at the address listed on the form. When submitting claims, it is always a good idea to keep a copy of the receipt for your own records.



updated December 07/12