ROCS – midwife medical certificate for permanent disability form (MO060)

Use this form if a Professional Indemnity Insurer has determined that an insured midwife is eligible to participate in the Midwife Professional Indemnity (Commonwealth Contribution) Scheme for Run-off Cover.

Download and complete the ROCS – midwife medical certificate for permanent disability form

Use this form if the midwife has temporarily or permanently ceased from providing medical services due to permanent disability.

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: 30 October 2020