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

Impairment Rating Template for AMA Guides 4th Edition (Word file)

Administrative Rule Set

Here is a link to AMA Guides 4th Edition

Here is a link to Basic Claims Handling Manual

Doctor’s Written Report Rules

Examples of Supporting Documentation

Employer’s First Report of Injury

Employer’s First Report of Injury or Occupational Disease

Labor Department

Here’s a link to the Department of Labor