Statutory Declaration ROCS - Midwife aged 65 years or older who has ceased practice form (MO039)

Use this form if you were an eligible midwife aged 65 years or older that permanently ceased private practice as a result of a run-off claim being made against you.

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