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Documents

Leaves of Absence

CAN Accommodation Medical Certification Form
CAN Accommodation Request Form
Disability Benefits Employee Statement Guide
Initial Disability Insurance Medical Statement
Leave of Absence Comprehensive Guide
Privacy Consent Disclosure and Authorization Form

Enrollment

Group Coverage Change Form
Overage Dependent Coverage Form

Financial

Group Life Conversion Fact Sheet
Group Life Conversion Fact Sheet (Quebec)
Group Life Conversion Form
Group Life Conversion Form (Quebec)
Group Life LTD Conversion Form

Benz Main Menu

  • Enrollment
    • New to Pandora
    • Your 2027 Contributions
    • Changing Your Benefits
    • Leaving Pandora
  • Healthcare
  • Financial
    • Retirement Plan
    • Life and Accident Insurance
    • Income Protection
    • Tuition Assistance
  • Time Away
    • Time Off
    • Leaves of Absence
  • Everyday Well-Being
    • Employee Assistance Program
    • Family Planning and Support
    • LGBTQ+ Benefits
    • Additional Well-Being Benefits
  • Resources
    • Who to Contact
    • Documents and Forms
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