Statutory Declaration - ROCS - deceased medical practitioner form (MO033)

Use this form in the event that a valid death certificate is not available to support eligibility under the Run-off Cover Indemnity Scheme (ROCS).

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.

Page last updated: 12 April 2018