Run off Cover Indemnity Scheme - medical certificate maternity form (MO032)

Use this form when a Medical Indemnity Insurer or Medical Defence Organisation determines that an insured medical practitioner is eligible to participate in the Run off Cover Indemnity Scheme (ROCS) due to maternity.

Use this form if the medical practitioner is on leave from providing medical services due to pregnancy, caring for one or more children whom she gave birth to or recovering from pregnancy.

A medical practitioner other than the medical practitioner being assessed for eligibility under the ROCS must complete this form.

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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