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French personal travel waiver certificate

A translation of the updated French personal travel exemption relating to the coronavirus (COVID-19) decree.

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This is a non-professional translation of the French personal travel exemption relating to the COVID-19 decree.

You must download the French form below, print it and complete it and carry it on your person for each outing.

Attestation deplacement derogatoire FR (ODT, 7.43KB)

An English translation has also been uploaded by the French Ministry of the Interior.

Attestation deplacement derogatoire ENG (ODT, 8.19KB)

English translation of the waiver

In accordance with Article 3 of the decree issued on 23 March 2020 prescribing the general measures necessary to deal with the coronavirus (Covid-19) epidemic in the context of the health emergency

I, the undersigned

Mrs/Mr:

Born on:

Address:

certify that my trip is related to the following reason authorised by article 3 of the decree of 23 March 23 2020 prescribing the general measures necessary to deal with the coronavirus (Covid-19) epidemic in the context of the state of emergency:

  • trips between home and place of work, when there is essential need for it, because the professional activity cannot be performed at home (provide permanent documentary proof) or professional trips that cannot be postponed

  • outings to make essential purchases (full list available on gouvernement.fr), or to purchase supplies that are indispensable to professional activity, or to withdraw cash

  • outings for urgent medical care, appointments and care that cannot take place remotely, care for chronic diseases, such as diabetes

  • outings for essential family reasons, to assist vulnerable people or for childcare

  • short trips, close to home, for individual physical activity, excluding collective sports, and for the needs of domestic animals; a walk with someone living in your household; within 1km of your home; no longer than an hour; only once per day

  • responding to administrative and judicial summons

  • joining a community activity, if asked by your administrative authority

Completed in (name of town or city) on (MMY) and time (hour you left home) Signature

Published 18 March 2020
Last updated 27 March 2020 + show all updates
  1. Updated with the new certificate issued by the French government on 23 March 2020

  2. First published.