Orientative model of certificate to justify the entry and exit of the affected areas by virtue of the resolution of September 30, 2020

On ……… .., on… .. ……… of 2020.

D./Dña.…………………………………………, of legal age, with ID ……………, in their capacity as ………………………. of the company ………………………, with NIF ………., and address at …………………………

DECLARES:

That as a result of the entry into force of the aforementioned resolution and published in the Official State Gazette on October 1, 2020, the entry and exit of certain population centers in the Autonomous Community of Madrid is restricted as a result of the management of the health crisis situation caused by COVID-19, except for certain displacements, duly justified, which are specified in article 2.A) section 1.b) of the aforementioned legal text, including travel to the workplace to fulfill their work, professional or business obligations.

For such circumstance and for the purposes of its possible accreditation before the competent authority,

CERTIFIES:

That the worker D./Dña. …………………………………, with DNI ……………, and street resident ……………………………………., is part of the company staff …………………, performing his professional work in the work center located at ………………………

And for the record, I issue the following certificate.

Fdo.