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 - Midwife Professional Indemnity Scheme - Online claim form.
A person authorised to represent your organisation must complete and sign this form.
If the statutory declaration is not provided with each new online claim application a Commonwealth Contribution Indemnity Scheme payment cannot be made.