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.

Page last updated: 27 August 2017