Fly America & Open Skies Guidance 3 | P a g e
FLY AMERICA ACT WAIVER CHECKLIST
Please provide documentation for all checked items
(To assist in determining qualification for a waiver of the restrictions of the Fly America Act
under 41 CFR Part 301-10, check the applicable statement(s) below.)
Use of foreign air carrier is a matter of necessity because of. (Must check one below)
U.S. flag air carrier cannot provide the air transportation needed, for example:
Use of foreign air carrier is necessary for medical reasons.
Use of foreign air carrier is required to avoid unreasonable risk to traveler’s safety. (See 41
CFR 301-10.138(b)(2) for supporting evidence needed.)
Seat on U.S. air carrier in authorized class of service is unavailable; seat on foreign air carrier
in authorized class of service is available.
Other (Provide detailed justification.)
Code sharing agreement exists. This two letter alpha code of a U.S. flag air carrier is clearly noted as part of
the flight number on the airline ticket, flight coupon (boarding pass), or passenger receipt.
Bilateral or multilateral air transportation agreement. U.S. is a party and Dept. of
Transportation determines
agreement meets requirements of Fly America Act.
No U.S. flag air carrier provides service on a particular leg of your route (Travelers can only use foreign air
carrier to or from the nearest interchange point to connect with a U.S. carrier).
A U.S. flag air carrier involuntarily reroutes traveler on a foreign air carrier.
Service on a foreign air carrier is three hours or less, and use of U.S. flag air carrier doubles en
route travel
time.
Air travel is between the U.S. and another country and use of a U.S. carrier on a nonstop flight
extends
travel time by 24 hours or more.
Any other air travel (You must check at least one of the following statements to qualify for a waiver of
the Fly
America Act restrictions in this section)
Use of a U.S. carrier increases the number of aircraft changes outside the U.S. by two or
m
ore.
Use of a U.S. carrier extends travel time by six hours or more.
Use of a U.S. carrier requires a connecting time of four hours or more at an overseas
interchange point.
Remember, you must use a U.S. flag air carrier on every portion of the route where it provides
service unless
you qualify for a waiver. If a travel expense is disallowed, the department accepts liability of charges with
departmental funds or identifies a suitable non-federal funding source to cover the disallowance.
_________________________________ ________________________________
Name and Dept. of Traveler Dept. Chair/ Unit Head Signature
_________________________________ ________________________________
Signature of Traveler Date