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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. 

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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.

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