Green Travel Declaration

This declaration form confirms your plans for sustainable travel to and from your Erasmus+ mobility destination. Your signature on this form serves as a declaration of honor that all information provided is true and that you understand the regulations and stipulations of the green travel top-up.

Your Name
Type of Mobility

Type of Mobility Student Mobility for Studies Student Mobility for Traineeship or Practicum Staff Mobility for teaching or training
Starting City and Country
Destination City and Country
Start Date of Mobility Start Date of Mobility / MM / DD YYYY
End Date of Mobility End Date of Mobility / MM / DD YYYY
Form of Green Travel

Form of Green Travel Carpooling (2 or more people in vehicle) Train Bus
If carpooling, please list the names of additional vehicle occupants. If traveling by bus or train, leave blank.
Will you use a sustainable means of travel for more than 50% of your round trip journey?

Will you use a sustainable means of travel for more than 50% of your round trip journey? Yes No
Please check all boxes below to indicate your confirmation and understanding of the policies associated with the green travel top-up.

Please check all boxes below to indicate your confirmation and understanding of the policies associated with the green travel top-up. I confirm that I will use sustainable means of transportation (namely carpool, bus or train) for travelling to and from my mobility destination. I understand that I must keep the original documents proving the sustainable travel to and from the destination and submit them upon my return. If I do not use sustainable travel for more than 50% of my journey, I understand I will not receive additional funding in my final grant payment.
Draw your signature into the box below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.