Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1697632190049.pdf (Antigua and Barbuda)
ANTIGUA & BARBUDA SOCIAL SECURITY BOARD Age Benefit Requirements Persons born in Antigua & Barbuda Valid Passport & Birth Certificate Or Valid Government issued Identification (ID), Birth Certificate and Baptismal Certificate (if father’s name is used and not on Birth Certificate) along with Marriage Certificate and or Divorce Certificate (if applicable) If name has changed, other than as a result of marriage; a Deed Poll Banking information: name of bank or credit union account number and name on account Persons not born in Antigua & Barbuda Valid Passport & Birth Certificate Marriage Certificate and or Divorce Certificate (if applicable) If name has changed, other than as a result of marriage; a Deed Poll Banking information: name of bank or credit union account number and name on account Only original or notarized copies of the application form and supporting documents will be accepted.
NB.

In addition to the Age Benefit Application Form the applicant must also submit the appropriate life certificate based on where he/she resides.

Please note that amendments made to Statutory Instrument No.

16 – Social Security (Benefits) (Pensions and Grants) Regulations 2013, has changed the pensionable age.

In this regard, persons who opt to apply for an Age Benefit before attaining the pensionable age which is currently 63, will have ½ percent per month deducted up to the pensionable age.
Further, application for Age Benefit must be made within the same year the applicant becomes pensionable.

Failing this, the pension payable to qualified applicants shall only be paid one year from the date of application, which will be the date received.
For further information please contact Tel: (268) 736-3000/1/2/3 Fax (268) 481-3090 customerserv@socialsecurity.gov.ag socsec@socialsecurity.gov.ag ANTIGUA AND BARBUDA SOCIAL SECURITY BOARD AGE BENEFIT APPLICATION FORM Social Security Number:________________________ Date of Birth:___________ ______________ Name:________________________________________ ________________________________________ Surname Other Names Mailing Address_____________________________ Contact (H)_____________ (C)________________ _____________________________ Email Address:____ __________________________ _____________________________ Marital Status: Single Married Widowed Divorce Name of Spouse (if any):_____________________________________________________________________ PLEASE PROVIDE EMPLOYMENT HISTORY FOR ANTIGUA & BARBUDA YEARS OF EMPLOYMENT From To NAME OF EMPLOYERS Have you worked in any Caricom Territory or Canada?
Yes No If yes please provide information below: YEARS OF EMPLOYMENT From To NAME OF EMPLOYERS COUNTRY Please make Benefit Payable to: If Benefit Payable to payee other than applicant Name:_________________________________ ______ Payee Name: _________________________________ Name of Bank:________________________________ Payee mailing address:_________________________ A/C Type__________ A/C#_______________________ _____________________________________________ I understand that by affixing my signature below I acknowledge that the early application for age benefit will result in a reduction in my age benefit should I qualify for an age pension.
____________________________________________ _______________________________ Signature of Applicant Date FOR OVERSEAS APPLICANTS PLEASE SEE OVER-LEAF If payment is not payable to a bank in Antigua and Barbuda, the following information is required: Wire Transfer Information Bank Name: Bank Address: Bank Routing Number: Bank Swift Code: Name on Account: Account Number: Payee’s Physical Address: I understand that by affixing my signature below I acknowledge that the early application for age benefit will result in a reduction in my age benefit should I qualify for an age pension.
___________________________ Signature of Applicant _________________ Date ______________________________ Signature of Notary Date _________________ Notary Stamp or Seal OFFICAL USE __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ ___________________________________ Signature of Interviewer _____________________________ Date REQUIREMENTS FOR AGE BENEFIT CALCULATIONS 1.
Number of Contributions on record up to Pensionable Age.

2.

First Contribution Year.

3.

For one whose first contribution was paid as an employed person and the amount of contribution is less than the required number of weeks at pensionable age.

4.

For one whose first contribution was paid as a self-employed person and the amount of contribution is less than the required number of weeks at pensionable age.

YEAR NO.
OF CONTRIBUITONS EARNINGS ANNUAL INSURABLE EARNINGS TOTAL __________________________________ Signature of Processing Officer __________________________________ Signature of Approval Officer _________________________________ __________________________________ Date Date ANTIGUA & BARBUDA SOCIAL SECURITY BOARD LONG STREET, P.O .Box 1125 ST. JOHN’S ANTIGUA TEL: (268) 736-3000/1/2/3 FAX (268) 481-3090 E –mail: customerserv@socialsecurity.gov.ag LOCAL LIFE CERTIFICATE FULL NAME of PENSIONER: __________________________________________________________________ Social Security # Pension # Type of Pension: Age Invalidity Survivors Old Age Assistance Signature of Pensioner______________________________________ Date_________________________ Life Certificate form TO BE CERTIFIED BY ONE OF THE PERSONS ON THE OVER-LEAF ______________________________________________________________________ TO BE CERTIFIED BY ANY OF THE FOLLOWING PERSONS BY TICKING SPECIFIED PROFESSION: Notary Public Medical Practitioner Bank Official Minister of Religion Social Security Staff Lawyer Registered Nurse School Principal Member of Parliament Retired Senior Soc.
Sec Staff I, the undersigned, hereby certify that: ___________________________________________________________________________ Whose signature is affixed on the over-leaf was alive on the _____________________ day of _______________ 20 _____________ _________________________________________________ _____________________________________________ Name of Church Signature (Applicable to Minister of Religion) ______________________________________________ Print Name ______________________________________________ Profession OFFICIAL STAMP ______________________________________________ Life Certificate Form Date