OK Board - Immigrant or Returning Resident

Legal Notice

Authority: The American Samoa Annotated Code Section 41.0402 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 or applicable government agency 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

Immigrant or Returning Resident
Personal Information
Full Name*

First NameMiddle NameLast Name
Birth Date*

MonthDayYear
Gender*

MaleFemale
Address & Contact Information
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*

Confirmation EmailRe-enter your email address to match your first entry.
Local Phone Number*

Area CodePhone Number
Travel Information
Date of Arrival*

MonthDayYear
Required Documents
Passport Country Of Issue
Date Passport issued*

MonthDayYear
Date
Date Passport expires*

MonthDayYear
Date
Please upload scans of the following documents for submission with your application:
- Copy of your ASG issued Immigration ID Card
- Copy of itinerary or tickect.
- Copy of your Passport
Upload your files here*

Browse Files

Cancelof
Have you provided copies of the following documents?*
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.

IMPORTANT NOTE

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.
OK Board - Immigrant/Returning Resident*
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OK BOARD APPLICATION

Personal Information

Address & Contact Information

Travel Information

Required Documents