High Cost Claim Indemnity Scheme medical indemnity payment application form (MO012)
Use this form to apply for payments made under the High Cost Claim Indemnity Scheme (HCCS) if you're a Medical Defence Organisation or a Medical Indemnity Insurer.
Download and complete the High Cost Claim Indemnity Scheme medical indemnity payment application form.
Before you start, read about HCCS.
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Page last updated: 19 February 2020