Application and Proposal Forms

• Premium Support Scheme Application Form 2019/20 [pdf][size: 124 Kb]
• Student/Final Year Student and Intern Application Form [pdf][size: 158 Kb]
• Professional Indemnity Insurance Policy Application Form [pdf][size: 157 Kb]
• Practice Indemnity Proposal Form [pdf][size: 151 Kb]
• Premium Support Scheme Application Form 2018/19 [pdf][size: 128 Kb]
• Retroactive Cover Proposal Form [pdf][size: 261 Kb]
• Treatment of Public Patients Proposal Form [pdf][size: 173 Kb]

Disclosure Documents and Policy Wording

• Practice Indemnity Policy - Combined Financial Services Guide, Important Information and Policy Wording V.8 [pdf][size: 905 Kb]
• Professional Indemnity Insurance Policy - Supplementary Financial Services Guide (FSG) & Product Disclosure Statement (PDS) including Amendments to the Policy Wording V.12 [pdf][size: 342 Kb]
• Professional Indemnity Insurance Policy – Combined FSG, PDS and Policy Wording V.12 [pdf][size: 383 Kb]
• Practice Indemnity Policy Combined FSG, Important Information and Policy Wording V7 [pdf][size: 284 Kb]

Information Booklets

• Risk Category Guide 18/19 [pdf][size: 193 Kb]
• Risk Category Guide 19/20 [pdf][size: 285 Kb]
• Risk Category Guide Significant Changes 18/19 [pdf][size: 203 Kb]
• Risk Category Guide Significant Changes 19/20 [pdf][size: 200 Kb]
• PSS Important Information Booklet [pdf][size: 330 Kb]
• ROCS Important Information [pdf][size: 226 Kb]

Insurance Product Brochures

• Doctors in Practice [pdf][size: 1216 Kb]
• Doctors in Training [pdf][size: 1200 Kb]
• Employer Indemnified Doctors [pdf][size: 1176 Kb]
• Final Year Students and Interns [pdf][size: 1213 Kb]
• Practice [pdf][size: 1399 Kb]
• Starting Private Practice [pdf][size: 671 Kb]
• Student [pdf][size: 1043 Kb]

Payment

• Direct Debit Service Agreement [pdf][size: 119 Kb]
• Direct Debit Authority [pdf][size: 122 Kb]

Privacy

• Privacy Policy [pdf][size: 212 Kb]
• Third Party Disclosure Authority [pdf][size: 109 Kb]

Run Off Cover Indemnity Scheme (ROCS)

• Medical Certificate for Permanent Disability [pdf][size: 49 Kb]
• Medical Certificate for Maternity [pdf][size: 49 Kb]