Submit ESTA application

Fill Out Your ESTA Application

Do you plan to go the the States in the next future? Don't forget to fill out your ESTA Form prior to travel to the USA

ESTA Form: Why should i get one?

In order to travel to the usa, you must obtain an ESTA, which has been madatory since 2009, even in transit. Without it, you might be refused to the United States of America.

Do You Want To Know More About Your ESTA Application?

You can find more details about the reason why the ESTA has been mandatory for a few years by readin our article What is ESTA.

ENTER APPLICANT INFORMATION

The following information is required of every non-immigrant visitor not in possession of a visitor's visa who is a national of one of the countries ^[1] listed in 8 CFR 217.2. Please enter all information requested. Each member of your traveling party must complete a separate application.

Please provide all responses in English.

Required fields are indicated by a red asterisk *.

APPLICANT / PASSPORT INFORMATION

Refer to your passport and enter all information in the same format.

Family Name*

First (Given) Name*

Gender*

SAMPLE PASSPORT

This sample passport displays the information you will need from applicant's passport. Information must be entered exactly as it appears in passport. Enlarge image to see more information.

Are you known by any other names or aliases?*

Family Name*

First (Given) Name*

Date of Birth*

City of Birth*

Country of Birth*

Passport Number*

Country of Citizenship*

National Identification Number*

Issuance Date*

Issuing Country*

Personal Identification Number

Expiration Date*

Have you ever been issued a passport or national identity card for travel by any other country?*

Issuing Country*

Document Type*

Document Number*

Expiration Year*

Other Citizenship/Nationality

Are you now, a citizen or national of any other country?*

Country of Citizenship / Nationality*

How did you acquire citizenship / nationality from this country?*

Other

Have you ever been a citizen or national of any other country?*

Country of Citizenship / Nationality*

GE MEMBERSHIP

Are you a member of the CBP Global Entry Program?*

PASSID / Membership Number*

PARENTS

Please list your parents names in the boxes to the right. All applicants are required to fill out this section.

Family Name*

First (Given) Name*

Family Name*

First (Given) Name*

YOUR CONTACT INFORMATION

Please enter your contact information below.

Address Line 1*

Address Line 2

Apartment Number

City*

State/Province/Region*

Country*

Telephone Type*

Country Code + Phone*

E-mail Address*

Confirm E-mail Address*

Social Media (Optional)

Please enter information associated with your online presence.

Provider / Platform

Social Media Identifier*

EMPLOYMENT INFORMATION

Do you have a current or previous employer?*

Job Title

Employer Name*

Address Line 1*

Address Line 2

City*

State/Province/Region*

Country*

Country Code + Phone

ENTER TRAVEL INFORMATION

Please provide all responses in English.

Required fields are indicated by a red asterisk *.

Is your travel to the US occurring in transit to another country?*

U.S. Point of Contact Information

Name*

Address Line 1*

Address Line 2

Apartment Number

City*

State*

Phone Number*

Address While in the U.S.

Same as U.S. Point of Contact Info Above

Address Line 1

Address Line 2

Apartment Number

City

State

EMERGENCY CONTACT INFORMATION IN OR OUT OF THE U.S.

Family Name*

First (Given) Name*

E-mail Address*

Country Code + Phone*

ELIGIBILITY QUESTIONS

Need additional guidance on eligibility questions?

Required fields are indicated by a red asterisk *.

1) Do you have a physical or mental disorder; or are you a drug abuser or addict; or do you currently have any of the following diseases (communicable diseases are specified pursuant to section 361(b) of the Public Health Service Act):*

Cholera
Diphtheria
Tuberculosis, infectious
Plague
Smallpox
Yellow Fever
Viral Hemorrhagic Fevers, including Ebola, Lassa, Marburg, Crimean-Congo
Severe acute respiratory illnesses capable of transmission to other persons and likely to cause mortality.

2) Have you ever been arrested or convicted for a crime that resulted in serious damage to property, or serious harm to another person or government authority?*

3) Have you ever violated any law related to possessing, using, or distributing illegal drugs?*

4) Do you seek to engage in or have you ever engaged in terrorist activities, espionage, sabotage, or genocide?*

5) Have you ever committed fraud or misrepresented yourself or others to obtain, or assist others to obtain, a visa or entry into the United States?*

6) Are you currently seeking employment in the United States or were you previously employed in the United States without prior permission from the U.S. government?*

7) Have you ever been denied a U.S. visa you applied for with your current or previous passport, or have you ever been refused admission to the United States or withdrawn your application for admission at a U.S. port of entry?*

8) Have you ever stayed in the United States longer than the admission period granted to you by the U.S. government?*

9) Have you traveled to, or been present in Iraq, Syria, Iran, Sudan, Libya, North Korea, Somalia or Yemen on or after March 1, 2011?*

Country*

From*

To*

Primary Reason*

WAIVER OF RIGHTS

I have read and understand that I hereby waive for the duration of my travel authorization obtained via ESTA any rights to review or appeal of a U.S. Customs and Border Protection Officer's determination as to my admissibility, or to contest, other than on the basis of an application for asylum, any removal action arising from an application for admission under the Visa Waiver Program.

In addition to the above waiver, as a condition of each admission into the United States under the Visa Waiver Program, I agree that the submission of biometric identifiers (including fingerprints and photographs) during processing upon arrival in the United States shall reaffirm my waiver of any rights to review or appeal of a U.S. Customs and Border Protection Officer's determination as to my admissibility, or to contest, other than on the basis of an application for asylum, any removal action arising from an application for admission under the Visa Waiver Program.

CERTIFICATION:*

I, the applicant, hereby certify that I have read, or have had read to me, all the questions and statements on this application and understand all the questions and statements on this application. The answers and information furnished in this application are true and correct to the best of my knowledge and belief.

THIRD PARTIES ONLY:

For third-parties submitting the application on behalf of the applicant, I hereby certify that I have read to the individual whose name appears on this application (applicant) all the questions and statements on this application. I further certify that the applicant certifies that he or she has read, or has had read to him or her, all the questions and statements on this application, understands all the questions and statements on this application, and waives any rights to review or appeal of a U.S. Customs and Border Protection Officer's determination as to his or her admissibility, or to contest, other than on the basis of an application for asylum, any removal action arising from an application for admission under the Visa Waiver Program. The answers and information furnished in this application are true and correct to the best of the applicant's knowledge and belief.