Form online 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the 'Port which granted clearance or permit to proceed' in the designated field. This is crucial for tracking your vessel's journey.
3. Next, specify the 'Nationality' of the vessel, selecting either American or Foreign from the options provided.
4. Fill in the 'Name of Vessel' and 'RIG' fields accurately to ensure proper identification.
5. Enter the relevant dates, including 'Date', 'Date of Clearance', and 'Date of Arrival'. These timestamps are essential for compliance.
6. In the section for notifying the port director, provide reasons for any notifications or requests for relief from penalties.
7. Complete the sections regarding penalty details, including 'Penalty Case Number', 'Amount of Penalty', and any recommendations regarding mitigation.
8. Finally, ensure that all signatures are completed where required, particularly from both you and the CBP Port Director.

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