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 the form
Known as form AR-3
Compensation for disability — Scheduled permanent injuries.
Here is the link to the page
Here is a link to Deparment of Labor
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 email@example.com.