North Dakota

Here is an impairment rating template compatible with the state’s rule set

Impairment Rating Template for AMA Guides 5th Edition

Administrative Rule Set

Here is a link to AMA Guides 6th Edition

Physician’s Report

Here is a link to Chiropractic Progress/Final Report

Labor Department

Here is a link to Workforce Safety and Insurance

Other Forms

Here is a link to other forms

Employer’s First Report of Injury

Here is a link to Employer’s First Report of Injury

Request for Authorization

Here is a link to Request for Authorization


Information on this page is subject to change as state rules and fee schedules are updated regularly. If there is any information that is incorrect or in need of revision, please contact us at info@rate-fast.com.

Information on this page is subject to change as state rules and fee schedules are updated regularly. If there is any information that is incorrect or in need of revision, please contact us.


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