ROCS - midwife medical certificate for maternity form 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.

Download and complete the ROCS - midwife medical certificate for maternity form.

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.

To fill in this form digitally you will need a computer and Adobe Acrobat Reader, or a similar program. You can download Adobe Acrobat Reader for free. If you can’t complete the form digitally, you can print it, complete it by hand and return it to us following the instructions on the form.

If you have a disability or impairment and use assistive technology, you may not be able to access our forms. If you can’t, please contact us. We can help you access, complete and submit them.

Page last updated: 3 March 2022