Form CBP Form 26 CBP Form 26 Report of Diversion

DEPARTMENT OF HOMELAND SECURITY

U.S. Customs and Border Protection

OMB Approval No: 1651-0025
Expiration Date: 02/29/2020
Estimated Burden: 5 Min.

REPORT OF DIVERSION
19 CFR 4.91 (a) and (b)

1. Port Which Granted Clearance or Permit to Proceed:

2. Nationality (American or Foreign):

3. Name of Vessel:

4. RIG:

5. Date:

CBP PORT DIRECTOR

6. Name of Port to Which Cleared:

7. Date of Clearance:

8. Actual/Expected Port of Arrival:

9. Date of Arrival:

PLEASE NOTIFY THE PORT DIRECTOR AT THE PORT OF ARRIVAL (The port director will act only when timely notified under section 4.91(a),
and 4.91(b), of the Customs Regulations) AND/OR GRANT RELIEF FROM ANY PENALTY TO WHICH
THE MASTER OWNER OR AGENT MAY BE LIABLE UNDER 46 U.S.C. 91 CR 19 U.S.C. 1445.
10. Reasons:

11. Report Submitted by:

12. Title (Owner, Master, or Agent):

13. Date:

14. Penalty Case Number:

Port:

15. Amount of Penalty:

16. Penalty Assessed Against:

17. Section of Law Violated:

18. Recommend that the Penalty be:
Remitted

Mitigated to

$

$

19. CBP Port Director:

20. Date:

21. Pursuant to the Authority Contained in 19 U.S.C. 1618 or 46 U.S.C. 7, the Above Penalty is:
Remitted

Mitigated to

22. Signature of CBP Port Director:

$

23. Date:

(NOTE: No notice of remission will be furnished. If no notice is received within 30 days, the petitioner may presume that penalty has been remitted.)
Paperwork Reduction Act Statement: An agency may not conduct or sponsor an information collection and a person is not required to respond to
this information unless it displays a current valid OMB control number and an expiration date. The control number for this collection is 1651-0025.
The estimated average time to complete this application is 5 minutes. If you have any comments regarding the burden estimate you can write to:
U.S. Customs and Border Protection, Office of Regulations and Rulings, 90 K Street, NE., Washington D.C. 20229.
CBP Form 0026 (09/19)