Statutory Declaration ROCS – Medical practitioner who has ceased medical practice because of permanent disability form (MO036)

Use this form if you need to declare for the purpose of ROCS you're a medical practitioner who has ceased medical practice because of permanent disability.

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: 13 July 2018