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Directory Results for DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS COMPENSATION DFSF5DWC9C COMPLETION INSTRUCTIONS FOR AMBULATORY SURGICAL CENTERS (FOR DATES OF SERVICES PRIOR TO 07/08/2010 ONLY) ASC FACILITIES SHALL COMPLETE THE DFSF5DWC9 FORM to DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS COMPENSATION DFSF5DWC9C COMPLETION INSTRUCTIONS FOR AMBULATORY SURGICAL CENTERS (ONLY FOR DATES OF SERVICES PRIOR TO 07/08/2010) ASC FACILITIES SHALL COMPLETE THE DFSF5DWC9 FORM