United States of America

  • Alaska
  • Arizona
  • Illinois
  • Louisiana
  • Mississippi
  • Montana
  • New Mexico
  • North Dakota
  • Pennsylvania
  • Rhode Island
  • Tennessee
  • Wyoming
  • Puerto Rico
  • Connecticut (AMA Guides Sixth can be used, but is not required)
  • Indiana (AMA Guides Sixth can be used, but is not required)
  • The Department of Labor’s Division of Federal Employees’ Compensation

Legislation that requires the Guides Sixth:
  • Federal Employees Compensation Act
  • Longshore and Harbor Workers’ Compensation Act

Canadian provinces:

  • Alberta
  • British Columbia
  • Manitoba
  • New Brunswick
  • Newfoundland and Labrador
  • Nova Scotia
  • Ontario
  • Price Edward Island
  • Quebec
Canadian territories
  • Northwest Territories
  • Nunavut
  • Yukon

International
  • Australia
  • Hong Kong
  • Korea
  • New Zealand
  • South Africa
  • The Netherlands


The Guides to the Evaluation of Permanent Impairment is used in workers’ compensation systems, federal systems, automobile casualty and personal injury cases. Please contact your local jurisdiction to learn more about how the AMA Guides™ should be used to evaluate impairment in such cases.