Statutory Declaration - Run-off Cover Indemnity Scheme - Midwife who has ceased practice because of permanent disability form (MO038)

The midwife completing this statutory declaration must have permanently ceased practice as an eligible midwife because of permanent disability.

Page last updated: 8 June 2016

This information was printed Friday 30 September 2016 from humanservices.gov.au/health-professionals/forms/mo038 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.