Statutory Declaration Run-off Cover Indemnity Scheme - Midwife who has ceased practice form (MO041)

The midwife completing this statutory declaration must have temporarily or permanently ceased midwifery practice because of maternity as at the notification date on which the insurer was firstnotified of a run-off claim made against the midwife, or an incident that may have given rise to a run-off claim against the midwife. Midwife Professional Indemnity Run-off Cover only applies to a claim or incident first notified on or after 1 July 2010. This statutory declaration should be completed by a midwife on or after the notification date.


Page last updated: 8 June 2016

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