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.