It does seem a tad peculiar.
Has anybody done a blow up of that box checked by the attendant below her signature? It looks from first glance as if something may have been checked in the “other” box in her signature, and then smudged over after with the MD check below- it’s hard to tell with the naked eye.
I’m not sure who is doing what but Hubby said someone examined it in Photoshop and it has “layers”.