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 humanservices.gov.au/health-professionals/forms/mo032 It may not include all of the relevant information on this topic. Please consider any relevant site notices at humanservices.gov.au/siteinformation when using this material.