Statutory declaration ROCS - Midwife who has ceased practice form (MO041)
Use this form if you are a midwife that has temporarily or permanently ceased midwifery practice because of maternity as at the date a run-off claim was made against you.
Download and complete the Statutory declaration ROCS - Midwife who has ceased practice form.
This statutory declaration should be completed by a midwife on or after the notification date.
Midwife Professional Indemnity Run-off Cover only applies to a claim or incident first notified on or after 1 July 2010.
ROCS is the Run-off Cover Indemnity Scheme.
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Page last updated: 7 July 2020
This information was printed 12 January 2021 from https://www.servicesaustralia.gov.au/organisations/health-professionals/forms/mo041. 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.