Run-off Cover Indemnity Scheme – for Medical Practitioners – Medical Certificate maternity or permanent disability form (MO032)

Use this form when a Medical Indemnity Insurer (MII) determines that an insured medical practitioner is eligible to participate in the Run-off Cover Indemnity Scheme (ROCS). This form must be completed by a medical practitioner other than the medical practitioner being assessed for eligibility under the ROCS.

Page last updated: 8 June 2016

This information was printed Sunday 25 September 2016 from It may not include all of the relevant information on this topic. Please consider any relevant site notices at when using this material.