1.0Medical Benefits Schemehttps://www.mbs.gov.ag/v2Authorization Form A2 - Medical Benefits Schemerich600338<blockquote class="wp-embedded-content" data-secret="bWfEWTb7mu"><a href="https://www.mbs.gov.ag/v2/mdocs-posts/authorization-form-a2/">Authorization Form A2</a></blockquote><iframe sandbox="allow-scripts" security="restricted" src="https://www.mbs.gov.ag/v2/mdocs-posts/authorization-form-a2/embed/#?secret=bWfEWTb7mu" width="600" height="338" title="“Authorization Form A2” — Medical Benefits Scheme" data-secret="bWfEWTb7mu" frameborder="0" marginwidth="0" marginheight="0" scrolling="no" class="wp-embedded-content"></iframe><script>
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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.