Statutory declaration ROCS - Deceased midwife form (MO040)
Use this form if at the time a claim is made, an eligible midwife is deceased and a valid death certificate is not available to support eligibility under the ROCS provisions of the Midwife Professional Indemnity (Commonwealth Contribution) Scheme Act 2010.
Download and complete the Statutory declaration ROCS - Deceased midwife form.
Midwife Professional Indemnity Run-off Cover only applies to a claim or incident first notified on or after 1 July 2010.
A claim is taken to be made, on the date on which the midwife’s insurer was first notified of a run-off claim made against the midwife, or an incident that may have given rise to a run-off claim against the midwife.
ROCS is the Run-off Cover Indemnity Scheme.
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Page last updated: 7 July 2020
This information was printed 16 January 2021 from https://www.servicesaustralia.gov.au/organisations/health-professionals/forms/mo040. 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.