In the first round of CONCACAF, the 20 lowest-ranked teams played home-and-away matches to determine the 10 teams who would progress to the second round of competition.
Matches
Grenada won 8–1 on aggregate and advanced to the second round.
| Bermuda  | 13–0 | |
|---|---|---|
| Ming  Nusum Smith Bean Steede Wade Simons Burgess  | 
Report | 
Bermuda won 20–0 on aggregate and advanced to the second round.
| Haiti  | 5–0 | |
|---|---|---|
| Peguero  Descouines Wadson  | 
Report | 
| Turks and Caicos Islands  | 0–2 | |
|---|---|---|
| Report | Lormera  Harvey  | 
Hialeah, United States
Haiti won 7–0 on aggregate and advanced to the second round.
| British Virgin Islands  | 0–1 | |
|---|---|---|
| Report | Elva  | 
| Saint Lucia  | 9–0 | |
|---|---|---|
| Emmanuel  Joseph Jean Skeete Elva Baptiste  | 
Report | 
St. Lucia won 10–0 on aggregate and advanced to the second round.
| Cayman Islands  | 1–2 | |
|---|---|---|
| Elliot  | 
Report | Moré  Marten  | 
| Cuba  | 3–0 | |
|---|---|---|
| Moré  | 
Report | 
Cuba won 5–1 on aggregate and advanced to the second round.
| Aruba  | 1–2 | |
|---|---|---|
| Escalona  | 
Report | Felter  Zinhagel  | 
| Suriname  | 8–1 | |
|---|---|---|
| Kinsaini  Loswijk Felter Sandvliet Zinhagel  | 
Report | Escalona  | 
Suriname won 10–2 on aggregate and advanced to the second round.
| Antigua and Barbuda  | 2–0 | |
|---|---|---|
| Roberts  Clarke  | 
Report | 
| Netherlands Antilles  | 3–0 | |
|---|---|---|
| Siberie  Martha Hosé  | 
Report | 
Netherlands Antilles won 3–2 on aggregate and advanced to the second round.
Dominica won 4–2 on aggregate and advanced to the second round.
| U.S. Virgin Islands  | 0–4 | |
|---|---|---|
| Report | Higgins  Lake Isaac  | 
| Saint Kitts and Nevis  | 7–0 | |
|---|---|---|
| Lake  Isaac  | 
Report | 
Saint Kitts and Nevis won 11–0 on aggregate and advanced to the second round.
| Dominican Republic  | 0–0 | |
|---|---|---|
| Report | 
| Anguilla  | 0–6 | |
|---|---|---|
| Report | Zapata  Severino Contrera Casquez  | 
Dominican Republic won 6–0 on aggregate and advanced to the second round.