Temporary Export Certification

Upon submission of this form, you will receive an email with your Temporary Export Certification for you to print, sign, and keep a copy of while traveling.

Traveler Name(Required)

Traveler Email(Required)

Country/Countries of Temporary Export(Required)

Portable Electronic Devices for Certification

IMPORTANT: Please only enter devices that are UMaine-owned. Devices may include laptops, tablets, cell phones, hard drives, and USB sticks. You may only submit up to THREE devices using this form; if you are bringing more than three UMaine-owned devices, please contact ORC.

Common Name(Required)

(e.g. “laptop,” “hard drive,” etc.)

Make/Manufacturer(Required)

(e.g. Apple, Windows, etc.)

Model(Required)

(e.g. 2024 Macbook Pro, etc.)

Serial Number(Required)

Common Name(Required)

(e.g. “laptop,” “hard drive,” etc.)

Make/Manufacturer(Required)

(e.g. Apple, Windows, etc.)

Model(Required)

(e.g. 2024 Macbook Pro, etc.)

Serial Number(Required)

Common Name(Required)

(e.g. “laptop,” “hard drive,” etc.)

Make/Manufacturer(Required)

(e.g. Apple, Windows, etc.)

Model(Required)

(e.g. 2024 Macbook Pro, etc.)

Serial Number(Required)

Certification Requirements

All statements below must be true to qualify for this Certification.

Certification Statements

By submitting this form, I certify that 1) I have reviewed the checklist provided in the University’s guidance “Export Compliance and Travel with Portable Electronic Devices” and meet all requirements necessary to utilize this Temporary Export Certification; and 2) to the best of my knowledge and belief, all of the information on this form is correct. I also understand that failure to report completely and accurately may result in export control and/or sanctions violations punishable by criminal or civil penalties. If any of the responses to these questions change, I will contact ORC regarding export compliance.

Is there anything else you would like to tell ORC regarding this export?

Note: Any comments entered here will not appear on your Temporary Export Certification, but they will be visible to ORC staff.

Office of Research Compliance

Portable Electronic Devices for Certification

Device 1

Device 2

Device 3

Certification Requirements

Certification Statements

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