Immigration Exemption Form

Cook Islands Immigration Exemption Form

Use this form if you are applying for an exemption to travel to and enter the Cook Islands.
What exemption are you applying for?*

Passport with less than 6 months validityCriminal Convictions
Criminal Convictions

If you have any convictions, you must declare them as part of the entry requirements to the Cook Islands. Cook Islands Immigration may grant an exemption for travel.

Additionally, an amendment to our laws prohibits certain individuals, particularly those affiliated with gangs, from traveling to and entering the Cook Islands.

Immigration Cook Islands will review cases with external agencies, and failure to declare convictions could affect your future travel.

The New Zealand Clean Slate Act does not apply to international travel. New Zealand citizens whose conviction history is affected by this act are still required to declare their convictions.

To apply for an exemption please complete the following form.
Passport with less than 6 months validity

All visitors to the Cook Islands are required to have a passport that is valid for 6 months or more beyond their intended departure date from the Cook Islands. The recommendation from this office is to renew your passport before your intended travel.

If you are unable to renew your passport, you can apply for an exemption to travel to the Cook Islands by completing the following form.
The following fee is required to be paid before an exemption letter is issued to travel to and enter the Cook Islands.*
prevnext( X )
Exemption LetterExemption letter issued for travel to the Cook Islands.
$25.00NZD

Total

$0.00NZD
Full name - as per your passport*

Given namesSurname
Date of birth*

DayMonthYear
Gender*
Country of birth*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Nationality*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodePassport issuing country
Passport No.*
Expiry Date*

DayMonthYear
Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Email*

Confirmation Email
Phone Number

Country CodeArea CodePhone Number
What is your date of arrival in the Cook Islands*

DayMonthYear
Purpose of travel to the Cook Islands*
Provide a brief explanation of your request.*
Supporting Documents

The following documents must be provided in PDF format as they are mandatory requirements:
Valid Passport*

or other valid government issued identification
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Criminal Conviction History*

must be issued within the last 6 months
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Proof of valid return itinerary from the Cook Islands*

or upload tentative travel dates
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Proof of accommodation for the duration of stay*

or upload tenative accommodation details
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Passport of travelling companions*

if you are travelling in a group, upload their passports
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Any other additional documents

upload any other documents that maybe relevant to your application
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PAYMENT INFORMATION

A $25.00 fee is required to be paid for the exemption letter.
Please use the following details:

Bank: ANZ New Zealand
SWIFT Code: ANZBNZ22
Account No: 01 1839 0329172 00
Account Name: Cook Islands Government

Please ensure that you apply the following reference to your deposit:
IMM - (followed by your Name)

Once your application has been submitted you will be required to provide proof of this deposit on request by an Immigration official.
Delcaration*

I hereby declare to the best of my ability that the above information is true and correct. I agree and understand that by ticking this box that this is the legal equivalent of my handwritten signature and I consent to be legally bound to this declaration.
Date*

DayMonthYear
Please verify that you are human*
Once your request has been processed you will receive an email from our Immigration team with further details. You can expect to hear back within 7 working days.
For any queries contact Te Kauono Tutara e te Mana Tiaki, Ministry of Foreign Affairs & Immigration on (682) 29347 ext. 1 or email immigration.exemptions@cookislands.gov.ck
Should be Empty:

Cook Islands Immigration Exemption Form

Criminal Convictions

Passport with less than 6 months validity

Supporting Documents

PAYMENT INFORMATION