Fill in ESTA Application Form

Fill in the following form to get your ESTA immediately

We process the ESTA authorization at the Department of Homeland Security for tourists visiting the United States. You can resolve any questions when filling out the form through the support chat or by sending an email to info@usa-esta-visa.com.

Errors are corrected. Once the form has been completed, we will send you your approved ESTA by email.

Paso 1 de 4 - General information

PASSPORT INFORMATION
Family Name*

Enter your last Family Name/Surname exactly as they appear on your passport.
First (Given) Name*

Enter ALL names exactly as they appear on your passport in the First (Given) Name field. If you have no first name, then enter the letters FNU which stands for First Name Unknown.
Gender*
Choose your gender, either male or female.
Date of Birth*
City of Birth*

Enter the city, town, village, or hamlet in which you were born. If you do not know the city in which you were born, enter UNKNOWN.
Country of Birth*
Country of Birth.
Passport Number*

Enter your passport number as it appears on your passport. Please closely distinguish between the number zero and the letter O.
Country of Citizenship*
Choose the country of citizenship, as it appears on your passport.
National Identification Number*

Enter the number on your identity document, other than a passport, issued by your country. If you do not have a National Identification Number, enter UNKNOWN.
Passport Issuance Date*
Passport Issuing Country*
Select the country that issued your passport.
Passport Expiration Date*
Have you ever been issued a passport or national identity card for travel by any other country?*
- Yes
- No
If you have never been issued any one of these documents by any other country answer "No" to this question.
Issuing Country*
Choose the country of citizenship, as it appears on your passport.
Document Type*
Please select the travel document type issued by another country.
Document Number*

If you do not remember the passport number or national identification card number, answer "UNKNOWN".
Enter your document number as it appears on your travel document. The travel document may contain numbers and/or characters. Please closely distinguish between the number zero and the letter O.
Expiration Year*

If you do not remember the year of expiration, answer four zeros "0000" in the year of expiration field.
Enter the expiration year of the document.
OTHER CITIZENSHIP / NATIONALITY
Are you now, a citizen or national of any other country?*
If Yes, select the country first, then select how you acquired the citizenship/nationality.
Country of other Citizenship / Nationality*
How did you acquire citizenship / nationality from this country?*
- By birth
- Through parents
- Naturalized
Have you ever been a citizen or national of any other country?*
"Previous" means at any time in the past, without limitation.
Country of Citizenship / Nationality*
PARENTS
Father's Family Name*

Enter the Family Name of your father. If you don't know it, fill in UNKNOWN. This field may include biological parents, adoptive parents, stepparents, or guardians.
Father's First (Given) Name*

Enter the First (Given) Name of your father. If you don't know it, fill in UNKNOWN. This field may include biological parents, adoptive parents, stepparents, or guardians.
Mother's Family Name*

Enter the Family Name of your mother. If you don't know it, fill in UNKNOWN. This field may include biological parents, adoptive parents, stepparents, or guardians.
Mother's First (Given) Name*

Enter the First (Given) Name of your mother. If you don't know it, fill in UNKNOWN. This field may include biological parents, adoptive parents, stepparents, or guardians.
YOUR CONTACT INFORMATION

Please fill in your contact information below.
Addresss*

Enter the number and street of the location of your home address. Do not include the city and state in this field.
Apartment Number

Enter the apartment, suite, unit, or other, as appropriate. Do not include the city and state in this field.
City*

Enter the city, town, village, or hamlet.
State/Province/Region*

Enter the state, province or region.
Country*
Enter your phone and email details.
Telephone Type*
Country Telephone Code*
Telephone Number*

Enter your phone number without the country code and spaces. At least one phone number is required. If you don't have a telephone of your own, use the telephone number of a friend or family member.
E-mail Address*
E-mail Address Confirm E-mail Address

Enter a contact email address. If you don't have an address of your own, use the email address of a friend or family member.
EMPLOYMENT INFORMATION
Do you have a current or previous employer?*
Indicate whether you have a current or previous employer by selecting yes or no.
Job title

Enter the job title of your current or previous employment. The job title is optional to complete this application.
Employer Name*

Enter the name of your current employer (the company or organization for whom you work). If you are not currently employed, enter the name of your previous employer. You may also enter SELF-EMPLOYED, STUDENT, CHILD, HOMEMAKER, STAY-AT-HOME PARENT, or any other word to describe your employment status.
Employer Address*

Enter the number and street of the location of the employer you listed. Do not include the city and state in this field. If you do not know the address of the employer you listed you may enter UNKNOWN.
Employer City*

Enter the city, town, village, or hamlet.
Employer State/Province/Region*

Enter the state, province or region.
Employer Country*

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Is your travel to the US occurring in transit to another country?*
Travel is in transit when you stop at a US airport and then go to another country. If you are going to leave the airport and stay in the U.S., answer No to this question.
Indicate whether your travel to the U.S. is occurring in transit to another country by selecting yes or no.
U.S. POINT OF CONTACT INFORMATION

A U.S. point of contact may be a friend, relative, or business associate. If you do not have a U.S. point of contact, please enter the name, address and telephone number of the location where you will be staying (e.g. a hotel name). You may also enter UNKNOWN.
Name*

A U.S. point of contact may be a friend, relative, or business associate. If you do not have a U.S. point of contact, please enter the name, address and telephone number of the location where you will be staying (e.g. a hotel name). You may also enter UNKNOWN.
Address*

In the Address field, enter the number and street of your U.S. Point of Contact's address. Do not include the city and state in this field. Address line 1 is required to complete the application. If you do not know the address you may enter UNKNOWN.
Apartment number

In the Apartment Number field, enter apartment, suite, unit, or other, as appropriate. Do not include the city and state in this field. Apartment number is optional to complete the application.
City*

In the City field, enter the city. The city is required to complete the application. You may also enter UNKNOWN.
State*
Phone number*

Enter your U.S. point of contact's telephone number. The number is required to complete the application. If you do not have a point of contact telephone number you may enter zeros.
ADDRESS WHILE IN THE U.S.
The address where you will be staying in the U.S. is optional to complete the application. If multiple locations are planned, enter the first address. If the complete address is not known, enter the name of the hotel or location you will visit.
Address while in the U.S.
- My address while in the U.S. will be the same as the U.S. Point of contact Address listed above.
Address (while in the U.S.)
Apartment Number (while in the U.S.)
City (while in the U.S.)
State (while in the U.S.)
EMERGENCY CONTACT INFORMATION IN OR OUT OF THE U.S.
Family Name*

Enter your emergency point of contact who may be a person in or outside of the United States, e.g., a family member, friend, or business associate. In the Family Name field, enter your emergency contact's family name. You must complete this field to complete the application. If you have no emergency contact, enter UNKNOWN.
First (Given) Name*

In the First (Given) Name field, enter the emergency contact's first name. You must complete this field to complete the application. If you have no emergency contact (or your contact has only one name), enter UNKNOWN.
E-mail Address*
Phone country code*
Phone number*

If you don't know the phone number, fill in the field with zeros.

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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.

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.
Acceptance*
- I accept the certification and the Terms and Conditions of the website.
CHECK

Please carefully check all data entered in this form before sending it. You can view the different data entered by pressing the button Previous
Payment

The cost of the ESTA Application processing service is $94 USD.
Processing ESTA Application
Cost:
Make your payment by card in a Secure Banking Environment.

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Fill in ESTA Application Form

Fill in the following form to get your ESTA immediately

Paso 1 de 4 - General information

PASSPORT INFORMATION

OTHER CITIZENSHIP / NATIONALITY

PARENTS

YOUR CONTACT INFORMATION

EMPLOYMENT INFORMATION

U.S. POINT OF CONTACT INFORMATION

ADDRESS WHILE IN THE U.S.

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

CERTIFICATION

CHECK

Payment

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