Statutory Declaration ROCS – Medical practitioner not engaged in private or remunerated medical practice during the preceding 3 years form (MO034)

Use this form if you have not engaged in private or remunerated medical practice during the 3 years preceding a run-off claim being made against you.

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: 27 August 2017