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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)
19925 Stevens Creek Blvd., Cupertino, CA  95014

Tel (408) 973-1184 * Fax (408) 253-1213 * Email dcritzer@critzerinsurance.com * Website www.critzerinsurance.com

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