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Form DFS-F5-DWC-9 A Completion Instructions Submitted by Ambulatory Surgical Centers A. Header Information 1. Health Care Providers shall enter Insurer/Carrier name, address and zip code in the blank

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What is dfs f5 dwc 9?

DFS F5 DWC 9 is a form used for reporting and compiling essential information for the Division of Workers' Compensation (DWC) in the state of California.

Who is required to file dfs f5 dwc 9?

All employers in California are required to file DFS F5 DWC 9 form.

How to fill out dfs f5 dwc 9?

DFS F5 DWC 9 can be filled out by providing the requested information in each section of the form, which includes details about the employer, injured worker, and the incident. It is recommended to follow the instructions provided with the form for accurate completion.

What is the purpose of dfs f5 dwc 9?

The purpose of DFS F5 DWC 9 is to report workplace injuries and illnesses to the DWC, allowing for proper documentation and tracking of incidents.

What information must be reported on dfs f5 dwc 9?

DFS F5 DWC 9 requires information such as the employer's name and contact details, injured worker's details, details of the incident, dates of disability, and medical treatment received.

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