Medical indemnity refund application form (MO007)

Use this form to apply for a refund for all Medical Indemnity Schemes if you're a Medical Defence Organisation or Medical Indemnity Insurer.

Download and complete the Medical indemnity refund application form.

Before you start, read about the Medical Indemnity Refund.

This PDF is fillable. You can fill it out on your device, or print it and complete it by hand.

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: 1 July 2020