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

Impairment Rating Template for State Specific Rule Set (Word file)

Administrative Rule Set

Rather than the AMA Guides, the state of Wisconsin uses a custom rule set for impairment ratings. The instructions for evaluating permanent disability can be found on the state’s website.

Department of Workers’ Comp Website

https://dwd.wisconsin.gov/wc/

Treatment Guidelines for Providers

The state Wisconsin provides guidelines for treating injured workers.

Employer’s First Report Of Injury

The state of Wisconsin provides provides this form for reporting employee’s injury or illness.