Run off Cover Indemnity Scheme - medical certificate maternity form (MO032)

Use this form when a Medical Indemnity Insurer or Medical Defence Organisation determines that an insured medical practitioner is eligible to participate in the Run off Cover Indemnity Scheme (ROCS) due to maternity.

You must download our forms and fill them in so they are processed quickly. You can also electronically sign some of our forms. We have help available if you use assistive technology.

Download and complete the Run off Cover Indemnity Scheme - medical certificate maternity form.

Use this form if the medical practitioner is on leave from providing medical services due to pregnancy, caring for one or more children whom she gave birth to or recovering from pregnancy.

A medical practitioner other than the medical practitioner being assessed for eligibility under the ROCS must complete this form.

ROCS is the Run off Cover Indemnity Scheme.

Page last updated: 17 November 2022.
QC 20816