Statutory declaration ROCS - Deceased medical practitioner form (MO033)
Use this form if you need to declare for the purpose of ROCS where a valid death certificate is not available to support eligibility.
Download and complete the Statutory declaration ROCS - Deceased medical practitioner form.
The ROCS only applies to claims or incidents first notified on or after 1 July 2004.
ROCS is the Run off Cover Indemnity Scheme.
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: 7 July 2020
This information was printed 8 January 2021 from https://www.servicesaustralia.gov.au/organisations/health-professionals/forms/mo033. It may not include all of the relevant information on this topic. Please consider any relevant site notices at https://www.servicesaustralia.gov.au/individuals/site-notices when using this material.