CERTIFICATE FOR TRAVEL TO METROPOLITAN FRANCE

FROM THE UNITED KINGDOM

Passengers travelling to Metropolitan France from the United Kingdom must present this certificate to transport
companies before boarding, as well as to border control authorities. Failure to do so shall result in the passenger
being denied boarding or access to the territory. Additionally, the following must be presented:
· A sworn statement certifying the absence of Covid-19 symptoms and absence of any contact with a
confirmed case of Covid-19;
· A sworn statement to take an antigenic test or possibly undergo screening upon arrival;
· A sworn statement to isolate oneself for seven days, if necessary, in one of the facilities designated by
the French authorities, and a sworn statement to undergo a biological virological screening test (PCR) at
the end of the isolation period;
· For persons aged 11 years or more, a virological screening test (PCR) or an antigenic test taken less
than 48 hours before boarding, showing no COVID-19 infection.

To be completed by the passenger:

I, the undersigned,

Mr/Mrs: ...

Born on:

Nationality:

Residing at:

Hereby certify that my reason for travel is for one of the following compelling reasons (tick the
appropriate box):

[ ] 1. French citizens, their spouses (married, civil union and cohabiting) and their children.

[ ] 2. Citizens of the European Union or equivalent, their spouse (married, civil union or cohabiting partner) and
their children, whose main residence is in France or who are in transit through France on the return trip to their
main residence in a European Union country or equivalent or to a country whose nationality they hold;

[ ] 3. Citizens of other countries with a valid French or European residence permit or long-stay visa, whose
main residence is in France or who are in transit through France on the return trip to their main residence in a
European Union country or similar country.

[ ] 4. British citizens and their family members who are eligible under the agreement for the withdrawal of the
United Kingdom of Great Britain and Northern Ireland from the European Union and the European Atomic
Energy Community.

[ ] 5. Citizens of other countries holding a long-stay visa issued for the purpose of family reunion or
reunification of refugee families, beneficiaries of subsidiary protection and stateless persons.

[ ] 6. Foreign health or research professionals engaged in the fight against COVID-19, their spouse (married,
civil partner, cohabiting partner upon presentation of proof of community of life) and their children.

[ ] 6bis. Foreign health or research professional engaged as an associate trainee.

[ ] 7. Citizens of other countries with a “Passeport Talent” (talent passport) long-stay visa (LSV), their spouse
(married, civil union or cohabiting partner upon presentation of proof of cohabitation) and their children.
[ ] 8. Students enrolled in French as a foreign language (FLE) courses prior to enrolment in a higher education
institution, or who have passed the oral examinations in French higher education institutions or enrolled to start
the 2021-2022 academic year. Researchers settling in France on invitation by a research laboratory, for research
activities requiring physical presence, their spouse (married, civil union, cohabiting partner on presentation of
proof of community of life) and their children.

[ ] 9. Workers in the land, sea and air transport sector or transport service providers, including drivers of any
vehicle carrying goods for use in the territory, as well as those merely transiting or travelling as passengers in
order to establish themselves or train at their home base.

[ ] 10. Foreign citizens working for a diplomatic or consular mission, or an international organisation with its
headquarters or an office in France, as well as their spouse and their children or a foreign citizen of a third
country staying in France for a compelling professional reason under a mission order issued by their country of
origin;

[ ] 11. Traveller in transit in the international zone for less than 24 hours.

[ ] 12. British officials discharging their duties, border police officers and customs officers.

[ ] 13. Channel Tunnel staff (engaged inter alia in operations, maintenance, security) or cross-Channel facilities
staff.

Done in ................................., on......../......../2021 (signature)