Use this form to declare for the Midwife Professional Indemnity Run-Off Cover Scheme (MPIROCS) that an eligible midwife is deceased and a valid death certificate isn’t available.
You must download our forms to fill them in. We have help available if you use assistive technology or if you need a translator or interpreter. Find out how to use our forms.
Download and complete the Statutory declaration ROCS - Deceased midwife form.
The MPIROCS only applies to claims or incidents first notified on or after 1 July 2010.
This information was printed 18 June 2026 from https://www.servicesaustralia.gov.au/mo040. It may not include all of the relevant information on this topic. Please consider any relevant site notices at https://www.servicesaustralia.gov.au/site-notices when using this material.