Here is an impairment rating template compatible with the state’s rule set
Impairment Rating Template for AMA Guides 3rd Edition (Word file)
Administrative Rule Set
Here is a link to AMA Guides 3rd Edition
Physician’s Report
Here is a link to Physician’s Report (opens Word document)
Labor Department
Here is a link to Workers’ Compensation Division
Employer’s First Report of Injury
Here is a link to Report of Job Injury or Illness (opens Word document)
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.