ROCS for Medical Practitioners – Medical Certificate maternity or permanent disability form (MO032)

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

This form must be completed by a medical practitioner other than the medical practitioner being assessed for eligibility under the ROCS.

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: 12 April 2018