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Cuba Travel Affidavit Form – General/ Specific Licensing

Cuba Travel Affidavit Form – General/ Specific Licensing

16Questions
  • 1

    I understand that the U.S. Department of Treasury, Office of Foreign Asset Control (OFAC) administers and enforces the Cuban Asset Control Regulations (CACR). These regulations apply to persons subject to U.S. jurisdiction including the following: a.) a U.S. citizen, b.) U.S. green card holder, c.) Resident of the United States, d.) Individual transiting/ departing from the United States en route to Cuba (i.e., British citizen flying from Miami to Cuba).
    Under current U.S. travel restrictions for Cuba, travel-related transactions are prohibited except for the following categories and that by signing my name at the bottom of this affidavit, I declare that I fall under the category I have checked below.

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  • 2
    • Family visit [515.561(a)]
    • Official business of U.S. or foreign government, or intergovernmental organization [515.562]
    • Journalistic activities [515.563]
    • Professional research [515.564(1)
    • Educational activities –for credit in connection with degree [515.565(a)]
    • Educational Activities - not for credit through sponsoring organization/school [515.565 (a)(2)
    • Educational exchanges – people to people [515.565(b)] -ONLY IF BOOKED PRIOR TO JUNE 5, 2019
    • Religious activities in Cuba [515.566]
    • Public performances, clinics, workshops, athletic and other competitions and exhibitions [515.567(a), 515.567(b)]
    • Support for the Cuban people [515.574]
    • Humanitarian projects [515.575]
    • Activities of private foundations or research/ educational institutes [515.576]
    • Activities related to the exportation or importation of informational materials [515.545]
    • Exportation and re-exportation of certain internet-based services [515.578]
    • Certain export transactions [515.533]
    • Activities in connection with the temporary sojourn of aircraft/ vessels [515.545(b)(2)]
    • Activities related to professional media and artistic productions [515.533(d)(2)]
    • Returning Cuban nationals [515.570]
    • Activities related to Department of Commerce licensed or authorized exports, medicines, and medical supplies [515.533(d)(1), 515.599(d)] Specialized License (OFAC)
    • Specific License
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  • 5
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  • 6
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  • 7
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  • 8
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  • 9
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  • 10
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  • 11
    arrival day to Cuba
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  • 12
    United States
    • Please Select
    • Afghanistan
    • Albania
    • Algeria
    • American Samoa
    • Andorra
    • Angola
    • Anguilla
    • Antigua and Barbuda
    • Argentina
    • Armenia
    • Aruba
    • Australia
    • Austria
    • Azerbaijan
    • The Bahamas
    • Bahrain
    • Bangladesh
    • Barbados
    • Belarus
    • Belgium
    • Belize
    • Benin
    • Bermuda
    • Bhutan
    • Bolivia
    • Bosnia and Herzegovina
    • Botswana
    • Brazil
    • Brunei
    • Bulgaria
    • Burkina Faso
    • Burundi
    • Cambodia
    • Cameroon
    • Canada
    • Cape Verde
    • Cayman Islands
    • Central African Republic
    • Chad
    • Chile
    • China
    • Christmas Island
    • Cocos (Keeling) Islands
    • Colombia
    • Comoros
    • Congo
    • Cook Islands
    • Costa Rica
    • Cote d'Ivoire
    • Croatia
    • Cuba
    • Curaçao
    • Cyprus
    • Czech Republic
    • Democratic Republic of the Congo
    • Denmark
    • Djibouti
    • Dominica
    • Dominican Republic
    • Ecuador
    • Egypt
    • El Salvador
    • Equatorial Guinea
    • Eritrea
    • Estonia
    • Ethiopia
    • Falkland Islands
    • Faroe Islands
    • Fiji
    • Finland
    • France
    • French Polynesia
    • Gabon
    • The Gambia
    • Georgia
    • Germany
    • Ghana
    • Gibraltar
    • Greece
    • Greenland
    • Grenada
    • Guadeloupe
    • Guam
    • Guatemala
    • Guernsey
    • Guinea
    • Guinea-Bissau
    • Guyana
    • Haiti
    • Honduras
    • Hong Kong
    • Hungary
    • Iceland
    • India
    • Indonesia
    • Iran
    • Iraq
    • Ireland
    • Israel
    • Italy
    • Jamaica
    • Japan
    • Jersey
    • Jordan
    • Kazakhstan
    • Kenya
    • Kiribati
    • North Korea
    • South Korea
    • Kosovo
    • Kuwait
    • Kyrgyzstan
    • Laos
    • Latvia
    • Lebanon
    • Lesotho
    • Liberia
    • Libya
    • Liechtenstein
    • Lithuania
    • Luxembourg
    • Macau
    • Macedonia
    • Madagascar
    • Malawi
    • Malaysia
    • Maldives
    • Mali
    • Malta
    • Marshall Islands
    • Martinique
    • Mauritania
    • Mauritius
    • Mayotte
    • Mexico
    • Micronesia
    • Moldova
    • Monaco
    • Mongolia
    • Montenegro
    • Montserrat
    • Morocco
    • Mozambique
    • Myanmar
    • Nagorno-Karabakh
    • Namibia
    • Nauru
    • Nepal
    • Netherlands
    • Netherlands Antilles
    • New Caledonia
    • New Zealand
    • Nicaragua
    • Niger
    • Nigeria
    • Niue
    • Norfolk Island
    • Turkish Republic of Northern Cyprus
    • Northern Mariana
    • Norway
    • Oman
    • Pakistan
    • Palau
    • Palestine
    • Panama
    • Papua New Guinea
    • Paraguay
    • Peru
    • Philippines
    • Pitcairn Islands
    • Poland
    • Portugal
    • Puerto Rico
    • Qatar
    • Republic of the Congo
    • Romania
    • Russia
    • Rwanda
    • Saint Barthelemy
    • Saint Helena
    • Saint Kitts and Nevis
    • Saint Lucia
    • Saint Martin
    • Saint Pierre and Miquelon
    • Saint Vincent and the Grenadines
    • Samoa
    • San Marino
    • Sao Tome and Principe
    • Saudi Arabia
    • Senegal
    • Serbia
    • Seychelles
    • Sierra Leone
    • Singapore
    • Slovakia
    • Slovenia
    • Solomon Islands
    • Somalia
    • Somaliland
    • South Africa
    • South Ossetia
    • South Sudan
    • Spain
    • Sri Lanka
    • Sudan
    • Suriname
    • Svalbard
    • eSwatini
    • Sweden
    • Switzerland
    • Syria
    • Taiwan
    • Tajikistan
    • Tanzania
    • Thailand
    • Timor-Leste
    • Togo
    • Tokelau
    • Tonga
    • Transnistria Pridnestrovie
    • Trinidad and Tobago
    • Tristan da Cunha
    • Tunisia
    • Turkey
    • Turkmenistan
    • Turks and Caicos Islands
    • Tuvalu
    • Uganda
    • Ukraine
    • United Arab Emirates
    • United Kingdom
    • United States
    • Uruguay
    • Uzbekistan
    • Vanuatu
    • Vatican City
    • Venezuela
    • Vietnam
    • British Virgin Islands
    • Isle of Man
    • US Virgin Islands
    • Wallis and Futuna
    • Western Sahara
    • Yemen
    • Zambia
    • Zimbabwe
    • Other
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  • 13
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  • 14
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  • 15
    Please Sign Below
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  • 16
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Cuba Travel Affidavit Form – General/ Specific Licensing
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