American Samoa Health Declaration form

Passengers are required to fill out an American Samoa Health Declaration Form at least 21 days prior to departure. This form is valid regardless of whether the traveler is flying by sea, air, or on land. It will vary depending on the country of origin. The form is not required to be filled out by the passenger. However, it will not be used to inquire about the passenger's health status on board or at port of call. No matter what mode of travel, the passport must be signed by the passenger to be issued.

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