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Cuba Travel Affidavit Form – General/ Specific Licensing

I understand that the U.S. Department of the Treasury, Office of Foreign Assets Control (OFAC) administers and enforces the Cuban Assets 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, 3.) Resident of the United States, 4.) Individual transiting/ departing from the United States on route to Cuba (i.e., British citizen flying from Los Angeles 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.

General Licensing

I, the undersigned, declare and certify that (a) I am subject to U.S. jurisdiction and (b) I qualify for a general 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.

How do I certify that I am travelling under one of the OFAC-approved travel categories?

All guests must fill out a certification form which sets forth and confirms that they will be participating in OFAC-compliant activities.

One per guest.

All guests will be self-certifying, which means that they are solely responsible for arranging a full-time schedule of OFAC-compliant activities, as explained above.

Click here for a document from the FAQ from the U.S. Department of the Treasury covering
many of the questions directly related to regulations regarding travel to Cuba.


QT-07, Rev. 08/16 v1 Retention: 5 Years