Statutory Declaration Run-off Cover Indemnity Scheme – Deceased medical practitioner form (MO033)

This statutory declaration must be completed in the event that a valid death certificate is not available to support eligibility under the Run-off Cover Indemnity Scheme (ROCS). The ROCS only applies to claims or incidents first notified on or after 1 July 2004.

Page last updated: 8 June 2016

This information was printed Thursday 29 September 2016 from humanservices.gov.au/health-professionals/forms/mo033 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.