Cuba Travel Certification

CUBA TRAVEL CERTIFICATION

Completion of this form is mandatory for each adult traveler before we can confirm your itinerary. Please consult with us if you have any questions as to which license applies to you. (Minors at the time of signing must be included on a parent or legal guardian's certification.)

I understand that the Office of Foreign Assets Control of the U.S. Department of the Treasury ("OFAC") administers and enforces the Cuban Assets Control Regulations ("CACR"). I further understand that the CACR prohibits U.S. persons from engaging in travel transactions and from traveling to Cuba, unless they qualify for a general license or hold a specific (written) license. I have reviewed the CACR and/or OFAC’s guidance on the travel restrictions. I, the undersigned, declare and certify that (a) I am subject to U.S. jurisdiction and (b) I qualify for a general license or hold an OFAC specific license, as marked below. I further confirm that as a licensed traveler, I am obligated to retain all records relating to my travel to Cuba for a period of five years.

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Adult Minor(s)
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Traveler Address

Address Line 1:*

Street address, P.O. box, company name, c/o

Address Line 2:

Apartment, suite, unit, building, floor, etc.

Country:*

City:*

State/Province:*

Zip/Postal:*

Parent or Guardian's Email Address

Email*

Confirm Email*

I hereby certify that this certification also applies to the following minor children traveling with me and for whom I am the (parent/legal guardian):

Full name of child

Date of birth of child:

Full name of child

Date of birth of child:

Full name of child

Date of birth of child:

Full name of child

Date of birth of child:

Electronic Signature Consent*

By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.

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