Accueil - Ministère de l'Intérieur



CERTIFICATE OF TRAVEL RESTRICTION WAIVERPursuant to Article 4 of Decree No. 2020-1310 of 29 October 2020 laying down general requirements to respond to the COVID-19 pandemic during the current state of public health emergency,I, the undersigned,Mr/Mrs:?...Born on:at:Residing at:Hereby certify that my travel is for the following reason (tick the box) authorized under the general requirements to respond to the COVID-19 pandemic during the current state of public health emergency:1. Professional occupation, education and training[ ] Travel between the home and place of work or education and training, business travel that cannot be postponed.2. Consultations and care/treatment[ ] Travel for consultations, examinations/check-ups,preventive procedures (including vaccination) and care/treatment that cannot be provided remotely, or to buy health products.3. Compelling family reason, vulnerable or needy persons, or childcare[ ] Travel for compelling family reasons, for assistance to vulnerable or needy persons, or for childcare.4. Situation of disability[ ] Movement of people with disabilities and their carers.5. Judicial or administrative summons[ ] Travel to respond to a judicial or administrative summons, travel to a legal professional for formalities or proceedings that cannot be conducted remotely.6. Mission of general interest[ ] Travel to participate in missions of general interest at the request of the administrative authority7. Transit and long-distance travel[ ] Travel related to rail, air or bus transits during long-distance journeys.8. Pets [ ] Short trips around the home to cater for pet needs.55200557778750OTHER REASONS ONLY APPLICABLE FROM 6 A.M. TO 6 P.M. IN TERRITORIES UNDER WEEKEND LOCKDOWN9. Shopping [ ] Travel to buy supplies needed for professional occupations, to shop for basic necessities, to pick up ordered goods, for home deliveries, and for relocations.10. Physical activities[ ] Short trips, restricted to one hour per day and within a maximum radius of five kilometres around the home, related either to personal physical activities, excluding any group sporting activity and any interaction with other persons, or to walking with only persons living together in the same home.11. Attendance of authorised gatherings[ ] Travel to or from a place of worship.?Attendance of gatherings, meetings or activities on a public thoroughfare or in a place open to the public, which are not prohibited under Article 3.12. Administrative or legal formalities[ ] Travel to a public serviceDone in:On:At:(The departure date and time must be clearly stated)Signature:5194935584200To combat the pandemic, download0To combat the pandemic, download ................
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