Statutory Declaration Midwife Professional Indemnity Scheme – Online claim form (MO042)

This statutory declaration must be completed and signed by a person authorised to represent your organisation and must accompany the supporting documentation provided for a Midwife Professional Indemnity Scheme (MPIS) online claim application. If the statutory declaration is not provided with each new online claim application a Commonwealth Contribution Indemnity Scheme payment cannot be made.


Page last updated: 8 June 2016

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