Authorization Form A1
The A1 Authorization form is for persons who would like to have a authorization card. this form is to be filled out and signed by the beneficiary and the person has to option of choosing up to 3 persons would he/she would like to collect on their behalf. the form also must be witnessed by someone who knows the beneficiary but isn't one of the collectors.
N.B If card is lost or has to be replaced the is a $5 fee.
Smart Card Replacement Form
The form is required for when your new MBS Smart card has be misplaced, stolen, damaged or if you would to make any changes to the card (ie. name change). The fee for the replacement card is $75.00. If your card was stolen and you have a police report the fee is lowered to $25.00.
Authorization Form A2
The A2 Authorization form is a certification form to facilitate beneficiaries (ie disabled, elderly,minors) who are not competent to complete the form. This form should be completed and signed by a person of the following designation and station, whether currently employed or retired:
- a Magistrate,
- Notary Public,
- Minister of Religion qualified under the law to perform marriages,
- Professional Engineer,
- Professional Accountant,
- Police Officer(Gazetted Rank),
- Bank Manager,
- Registered Medical Practitioner,
- Dentist,
- Permanent Secretary,
- Principal Assistant Secretary,
- Principal of a Primary or Secondary School,
- Head of Government Department,
- Barrister-at-Law, Solicitor or Attorney
who has been personally acquainted with the applicant for no less than two (2) years and resident in Antigua and Barbuda.
N.B If card is lost or has to be replaced the is a $5 fee.
