OK Board CIT+NAT

Legal Notice

Authority: The American Samoa Code Annotated Section 41.0207 authorizes the collection of the information and/or documents requested herein.

Purpose: To allow collection and recording of information regarding every person leaving or entering American Samoa.

Routine Use: The American Samoa Government - Department of Legal Affairs personnel will use this information to determine every individual's eligibility to enter American Samoa. Additionally, the Attorney General may share this information with other law enforcement agencies, applicable government agencies or persons as necessary.

Disclosure: Furnishing the requested information is voluntary, however, failure to furnish the requested information or documents may prevent completion of your application for an entry authorization.
OK BOARD APPLICATION

For U.S. Citizens or U.S. Nationals only.
Personal Information
Full Name*

First NameMiddle NameLast Name
Date of Birth*

MonthDayYear
Gender*

MaleFemale
Address
Current Address*

Street Address Line 1

Street Address Line 2

CityState

Postal / Zip CodeCountry
Email (Please check this email for the approved OKBoard to hand carry upon check-in)*

Confirmation Emailexample@example.com
Phone Number*

Area CodePhone Number
Travel Information
Reason for travel to Am. Samoa*
Date of Arrival*

MonthDayYear
Accommodations*

HotelFamily/FriendsReturning Resident
Name of Hotel*

Hotel Name

Location

VillageState / Province

Postal / Zip CodeCountry
Phone Number for Hotel*

Area CodePhone Number
If family/friends, list name of local contact*

Name of Local Contact

Relationship

VillageState / Province

Postal / Zip CodeCountry
Phone Number of local family/friend*

Area CodePhone Number
If other, please explain*
Required Documents
Upload Copy of Birth Certificate or applicable document*
Please upload a copy of your ticket or itinerary and passport. Once you submit your application, you will receive an email from our office confirming receipt of your application with further instructions before we forward you a copy of your travel authorization document (OK Board).
Please upload a scan of the following documents for submission to the Office of the Attorney General.
1. Copy of Birth Certificate or a Copy of the applicable document
2. Copy of a state issued ID
3. Copy of your ticket or itinerary
Upload Copy of Passport

Upload a File

Cancelof
Upload Copy of birth certificate with ID

Upload a File

Cancelof
Upload ticket/itinerary

Upload a File

Cancelof
Have you provided copies of the following documents?*
U.S. Citizen or National*
prevnext( X )
OK Board U.S. Citizen/National$50.00

Total $0.00
By clicking the submit button below, Traveler certifies 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, false 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 concerning my visit to American Samoa and any pertinent 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.

IMPORTANT NOTE

Please take note that submission and acceptance of your application does not constitute automatic approval thereof. Allow at least 3 business days to process your request. 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 travel authorization (OK Board) and present it to a local immigration officer on demand.
Should be Empty:

OK BOARD APPLICATION

Personal Information

Address

Travel Information

Required Documents