Medical indemnity request to aggregate payments for the same claim form (MO008)

Use this form if you elect to aggregate amounts paid or payable in respect of the same claim.

Download and complete the Medical indemnity request to aggregate payments for the same claim form.

This is in accordance with Section 31 (High Cost Claim Indemnity Scheme), Section 34ZE (Run-off Cover Indemnity Scheme) or Section 34ZZC (Allied Health High Cost Claim Indemnity Scheme) of the Medical Indemnity Act 2002.

An authorised representative of the MII must complete and sign this form and provide it to the MDO. The MDO must provide this supporting document when submitting an application through MIOC for aggregated payments.

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: 14 October 2020