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.

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 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.

Page last updated: 17 November 2022.
QC 21516