Statutory Declaration - ROCS – Medical practitioner aged 65 or older form (MO031)

Use this form if you are a medical practitioner aged 65 years of age or older who has permanently ceased private practice or all remunerated practice as a result of a run-off claim made against you.

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.

Page last updated: 27 August 2017