Statutory declaration ROCS - medical practitioner who has not engaged in either private or remunerated medical practice during the preceding 3 years form (MO034)

Use this form if you need to declare for the purpose of ROCS you're a medical practitioner who hasn't engaged in either private or remunerated medical practice during the preceding 3 years.

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: 14 November 2018