Statutory declaration ROCS - Medical practitioner who has not engaged in either private or remunerated medical practice during the preceding 3 years form (MO034)

Use this form if you need to declare for the purpose of ROCS you're a medical practitioner who hasn't engaged in either private or remunerated medical practice during the preceding 3 years.

Download and complete the Statutory declaration ROCS - Medical practitioner who has not engaged in either private or remunerated medical practice during the preceding 3 years 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.

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Page last updated: 7 July 2020