Personal Travel Waiver

In accordance with article 2 of the national decree state of emergency of 18 April 2020 and its appendix under 8.c relating to movements in the context of the fight against the spread of the Covid-19 virus:

I, the undersigned
certify that my movement is related to the following reason:
   trips for health reasons;
   trips for essential family reasons, to assist vulnerable people or for childcare;
Sign above