The Federal Post Card Application (FPCA) registers you to vote and requests absentee ballots for all Federal elections held in a calendar year. Select the category that describes you. Political party affiliation is not required. Name (Last, First, Middle). Enter any former name under which you were registered in American Samoa. Date of birth.<br/><br/>Your valid American Samoa Driver's License number OR your Social Security number is required for voter registration. If you do not possess either of these identification numbers, American Samoa will assign a number that will serve to identify you for voter registration purposes. Recommended but not required. Provide your contact information to allow your local election official to follow up if more information is required. American Samoa allows you to receive your ballot by mail, email or fax. Please rank your preference of how you would like to receive your absentee ballot. Complete street address of your American Samoa voting residence. A post office box is not sufficient. If your address includes a rural route, describe its location in Block 9. Complete address where you want your ballot sent, usually where you live now. Enter your age, current place of employment, and a statement that the residence listed in Block 7 was acquired with the intent to make American Samoa your legal residence. Provide any information that may assist the local election official in accepting this application. Sign and date. No witness or notary required. American Samoa allows you to submit the FPCA by mail, email or fax. If you choose to mail your FPCA, mail the form directly to: Chief Election Officer American Samoa Government P.O. Box 3970 Pago Pago, American Samoa 96799 If you choose to email your FPCA, you must also submit the FPCA by mail. It is recommended that you email the form directly to the Chief Election Officer. The email addresses can be found at [http://www.americansamoaelectionoffice.org/contact/contact.htm] (http://www.americansamoaelectionoffice.org/contact/contact.htm). If you choose to fax your FPCA, you must also submit the FPCA by mail. It is recommended that you fax the form directly to the Chief Election Officer. The fax number can be found at [http://www.americansamoaelectionoffice.org/contact/contact.htm] (http://www.americansamoaelectionoffice.org/contact/contact.htm). You may also use the DoD Electronic Transmission Service to fax your FPCA toll-free. To use the Electronic Transmission Service, use the cover sheet available in Chapter 1 or at FVAP.gov, and fax to: (703) 693- 5527, DSN 223-5527, or toll-free from the U.S., Canada, Guam, Puerto Rico, and the Virgin Islands to 1-800-368-8683. International toll-free numbers can be found on the inside back cover or at [FVAP.gov] (http://www.FVAP.gov). To find out the status of your registration/absentee ballot request, contact the Chief Election Officer. Contact information can be found at [http://www.americansamoaelectionoffice.org/] (http://www.americansamoaelectionoffice.org/). America Samoa allows you to use the Federal Write-In Absentee Ballot (FWAB) for voting in elections for Federal office. If you are registered and have requested your absentee ballot, feel free to use the FWAB any time before an election. American Samoa does not allow you to use this form for registration. Do not check the registration block. Select the category that describes you. Name (Last, First, Middle). Enter any former name under which you were registered in American Samoa. Date of birth.<br/><br/>Enter your valid American Samoa Driver's License number, your Social Security number OR your voter registration number. Recommended but not required. Provide your contact information to allow your local election official to follow up if more information is required. Political party affiliation is not required. Complete street address of your American Samoa voting residence. A post office box is not sufficient. If your address includes a rural route, describe its location in Block 9. Enter your current mailing address. Provide any information that may assist the local election official in accepting this ballot or application. Sign and date. No witness or notary required. Vote for any Federal office in an election. To find out the races and candidates for which you can vote, go to [www.americansamoaelectionoffice.org] (http://www.americansamoaelectionoffice.org). For each office for which you vote, write in either a candidate's name or a political party designation. American Samoa does not send representatives to the U.S. Senate or directly participate in the election of the President and Vice President of the United States. At the Federal level, only a Delegate to the House of Representatives is elected. Once the ballot is complete, fold and place it in the security envelope and seal. Place only the voted ballot in the security envelope and do not write on the security envelope. The deadlines for submitting the FWAB are the same as for regular absentee ballots. If you receive the regular ballot after submitting the voted FWAB, you may also vote and return the regular ballot. If both ballots are received by the deadline, only the regular ballot will be counted. Insert the sealed security envelope and the Voter's Declaration/Affirmation into the mailing envelope and mail your FWAB directly to: Chief Election Officer American Samoa Government P.O. Box 3970 Pago Pago, American Samoa, 96799 > ***Voted ballots must be received by the Election Office by1:30pm on Election Day. No witness or notary is required on voted ballots. Voted ballots must be returned by mail regardless of how the blank ballot was originally sent to the voter (mail, email or fax). Overseas Uniformed Service members should request to have the Prepaid Mail Label 11-DOD applied to their ballot materials at Military Postal Office locations (APO/FPO). This label provides free express mail service to your local election official for voted ballots mailed on or before the general election date. You retain a portion of the label for tracking your ballot through the U.S. Postal Service. You may track the status of your ballot at: [http://www.americansamoaelectionoffice.org/voter_status/voter_status.htm] (http://www.americansamoaelectionoffice.org/voter_status/voter_status.htm).