Statutory declaration ROCS - medical practitioner aged 65 or older who has ceased private or all remunerated medical practice form (MO031)

Use this form if you need to declare for the purpose of ROCS that you're a medical practitioner aged 65 or older who has ceased private or all remunerated practice.

The ROCS only applies to claims or incidents first notified on or after 1 July 2004.

ROCS is the Run off Cover Indemnity Scheme.

This PDF is fillable. Download this form and complete it on your device, or print it and complete it by hand.

If you have a disability or impairment and use assistive technology, there are other ways you can do your business with us. You can use self service or request someone to deal with us on your behalf. If you can’t access our forms, please contact us. We can help you access, complete and submit them.

Page last updated: 10 April 2019

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