Step 1:

Click on the following button to download the Group Census Form.

Step 2:

After you have completed the Group Census Form, choose one of the following methods to send the Form to us:

a) Send the Form as an email attachment from Excel.

b) Send the Form as an email attachment from Outlook.

c) Fax the Form to us.

Fax: (949) 727-7424

Email : wayne@truscottbenefits.com

If you have any questions, please contact us at:

Phone : (949) 751-3217