Travel Affidavit

General Licenses

I understand that travel transactions related to Cuba must be directly incident to one of the self-authorizing general license purposeful travel categories or travel authorized under the auspice of a specific license granted on a case-by-case basis. Under current US travel restrictions with respect to Cuba, travel-related transactions are prohibited except for the 12 authorized categories below. I declare that I fall under the category I have checked below and that I meet the criteria of the selected travel category under U.S. regulations.

For a full description of the OFAC Categories, please visit: https://www.ecfr.gov/current/title-31/subtitle-B/chapter-V/part-515/subpart-E/section-515.560

1. Family Visits (515.561)

General License Family Visit

2. Official Business of the U.S. Government, Foreign Governments & Certain Intergovernmental Organizations (515.562)

General License Official Business of the U.S. Government, Foreign Governments & Certain Intergovernmental Organizations

3. Journalistic Activities (515.563)

General License Journalistic Activities in Cuba

4. Professional Research and Professional Meetings (515.564)

(1) General License for Professional Research(2) General License for Professional Meetings

5. Educational Activities (515.565)

(a) General License for Educational Activities

6. Religious Activities (515.566)

General License Religious Activities in Cuba

7. Public Performances, Clinics, Workshops, Athletic & Other Competitions & Exhibitions (515.567)

(a) General License for Amateur and Semi-Professional International Sports Federation Competitions(b) General License Public Performances, Clinics, Workshops, Other Athletic or Non-Athletic Competitions, and Exhibitions

8. Support for the Cuban People (515.574)

General License Support for the Cuban People

9. Humanitarian Projects (515.575)

General License Humanitarian Projects

10. Activities of Private Foundations or Research or Educational Institutes (515.576)

General License Activities of Private Foundations or Research or Educational Institutes

11. Exportation, Importation, or Transmission of Information or Informational Materials (515.545)

General License Transactions Related to Information and Informational Materials

12. Certain Export Transactions that may be Considered for Authorization Under Existing Department of Commerce Regulations and Guidelines with Respect to Cuba or Engaged in by U.S.-owned or -controlled Foreign Firms (515.533 and 515.559)

Exportations from the United States to Cuba; Re-exportations to Cuba; Importation and Servicing or Repair of Certain Items Previously Exported or Re-exported to CubaCertain Export and Import Transactions by U.S. Owned or Controlled Foreign Firms

13. Specific License

I have a Specific License from OFAC, which was issued prior to my trip. My OFAC license number is:

Traveler Information

First Name

Last Name

Date of Birth

Passport Number

Passport Country of Issue

Country of Citizenship

Street Address

City, State, Zip

Phone Number

Email

Travel Date

Departure Flight Number

U.S. Permanent Resident Card (USCIS No.) or U.S. Visa Control Number (if applicable)

I certify that all of the information contained in this Affidavit is true and correct as of the date hereof. I understand that I am required to retain records of my Cuba-related transactions for a period of 10 years from the date of travel, in accordance with OFAC recordkeeping requirements.

Cuba Travel Affidavit

Travel Affidavit

Traveler Information

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