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Critzer Insurance Services
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 Census Upload 

Download and complete this census. See the Instructions tab at the bottom of the census template for help completing the form.

Once completed, click here to upload file to our secure location.  

Critzer Insurance Services (CA License No. 0664743)
10080 N. Wolfe Rd., Suite SW3-200, Cupertino, CA 95014

Tel (408) 973-1184 * Email dcritzer@critzerinsurance.com * Website www.critzerinsurance.com