ROCS - midwife medical certificate for maternity or permanent disability form (MO043)

Use this form if a Professional Indemnity Insurer has determined that an insured midwife is eligible to participate in the Midwife Professional Indemnity (Commonwealth Contribution) Scheme for Run-off Cover.

A medical practitioner for the midwife who is being assessed for eligibility under Run-off Cover must complete this form.

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.

If you have a disability or impairment and use assistive technology, there are other ways you can do your business with us. You can use self service or request someone to deal with us on your behalf. If you can’t access our forms, please contact us. We can help you access, complete and submit them.

Page last updated: 14 November 2018

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