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Wilfrid Laurier University Human Resources
October 31, 2014

Canadian Excellence

Forms

Employee Benefits

Health & Dental Benefits - Out of Country/Province Claim Form


published: 07-Feb-2008 PDF (55kb) GWL_Out_of_Country_Claim_Form.pdf

The Out of Country claim form should be used to get reimbursed for any eligible out of country or province emeregency medical or dentalexpenses. The OHIP Authorization form must be submitted with this form.


updated December 07/12