Form CBP Form 26 CBP Form 26 Report of Diversion

DEPARTMENT OF HOMELAND SECURITY

U.S. Customs and Border Protection
REPORT OF DIVERSION

OMB APPROVAL NO. 1651-0025
EXPIRES: 04-30-2023

19 CFR 4.91 (a) and (b)

Port Which Granted Clearance or Permit to Proceed:

Nationality (American or Foreign):

Name of Vessel:

RIG:

Date:

CBP PORT DIRECTOR

Name of Port to Which Cleared:

Date of Clearance:

Actual/Expected Port of Arrival:

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.
Reasons:

Report Submitted by:

Title (Owner, Master, or Agent):

Penalty Case Number:

Port:

Penalty Assessed Against:

Section of Law Violated:

Recommend that the Penalty be:
Remitted

Mitigated to

Date:
Amount of Penalty:

$

$

CBP Port Director: Last Name, First Name, Middle Initials

Date:

Pursuant to the Authority Contained in 19 U.S.C. 1618 or 46 U.S.C. 7, the Above Penalty is:
Remitted
Mitigated to
$
Signature of CBP Port Director:

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 (2/22)