Statutory Declaration Run-off Cover Indemnity Scheme - Midwife engaged in a private practice form (MO044)

The midwife completing this statutory declaration must not have been engaged in private practice (apart from the provision of free medical services) at any time in the 3 years preceding the date of notification on which the insurer was first notified 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 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

This information was printed Sunday 25 September 2016 from humanservices.gov.au/health-professionals/forms/mo044 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.