Combined passenger disclosure and attestation to the united states of america



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CDC Attestation

C. HUMANITARIAN EXEMPTION
I attest that I have received a
 humanitarian exemption
to the testing requirement, as determined by CDC
and documented by an official U.S. Government letter. 
On behalf of 
, I attest that this person has received 

humanitarian exemption
to the testing requirement, as determined by CDC and documented by an official U.S. 
Government letter. 
3
U.S. military personnel, including civilian employees, dependents, contractors, and other U.S. government employees when traveling on official military
travel orders are exempt from the testing or documentation or recovery requirement and do not need to fill out Section 1. U.S. Federal Law Enforcement Officials traveling on official 
orders for purposes of carrying out a law enforcement function are also exempt from the testing or documentation of recovery requirement and do not have to fill out Section 1.


Page 3 of 7
SECTION 2:
Passenger Attestation Requirement Relating to Presidential Proclamation on Advancing
the Safe Resumption of Global Travel During the COVID-19 Pandemic 

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