By clicking the submit button below, I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if allowed to enter American Samoa, falsified statements on this application shall be grounds to refuse entry into any port of entry in American Samoa, or for immediate removal.
Additionally, by clicking the submit button below, I authorize investigation of all statements, claims, or information contained herein and the reference listed above to give the American Samoa Government any and all information they may have, personal or otherwise, and I hereby release the American Samoa Government from any and all liability for any damage that may result from utilization of such information.
Furthermore, by clicking "Submit" I also agree that the $50 (USD) application fee is non-refundable.
Please take note that submission and acceptance of your application does not constitute automatic approval thereof. Only an affirmative correspondence from our office explicitly indicating approval of your submission is valid. You are required to print out a copy of said approval and present it to a local immigration officer on demand.