CUSTOMS PENALTY MITIGATION REQUEST
Petition for Relief Under 19 U.S.C. § 1618
U.S. Customs and Border Protection
SECTION 1: PETITION IDENTIFICATION
Type of Petition:
☐ Response to Pre-Penalty Notice
☐ Petition for Mitigation (Response to Penalty Notice)
☐ Supplemental Petition (following initial decision)
CBP Case Number: [____________________]
Pre-Penalty/Penalty Notice Date: [__/__/____]
Response Deadline: [__/__/____]
Date of This Petition: [__/__/____]
SECTION 2: PETITIONER INFORMATION
A. Petitioner Details
Full Legal Name:
[________________________________]
Type of Entity:
☐ Individual
☐ Corporation
☐ Partnership
☐ Limited Liability Company
☐ Other: [____________________]
Importer of Record Number: [____________________]
Tax ID (EIN/SSN): [____________________]
Business Address:
[________________________________]
[________________________________]
City: [____________________] State: [____] ZIP: [__________]
Telephone: [____________________]
Email: [________________________________]
B. Contact Person
Name: [________________________________]
Title: [________________________________]
Phone: [____________________]
Email: [________________________________]
SECTION 3: ATTORNEY/REPRESENTATIVE INFORMATION
Is petitioner represented by counsel?
☐ Yes ☐ No
If Yes:
Attorney/Representative Name: [________________________________]
Firm Name: [________________________________]
Address:
[________________________________]
Telephone: [____________________]
Email: [________________________________]
Bar Admission Number: [____________________]
☐ Power of Attorney attached
SECTION 4: ENTRY INFORMATION
A. Entry Details
| Entry Number | Entry Date | Port | Liquidation Date |
|---|---|---|---|
| [__________] | [__/__/____] | [____] | [__/__/____] |
| [__________] | [__/__/____] | [____] | [__/__/____] |
| [__________] | [__/__/____] | [____] | [__/__/____] |
| [__________] | [__/__/____] | [____] | [__/__/____] |
B. Merchandise Information
Description of Merchandise:
[________________________________]
[________________________________]
HTSUS Classification:
CBP Classification: [____________________]
Petitioner's Claimed Classification: [____________________]
Country of Origin: [____________________]
Total Entered Value: $[____________________]
SECTION 5: PENALTY INFORMATION
A. Alleged Violation
Statutory Basis of Penalty:
☐ 19 U.S.C. § 1592(a) - Material false statement or omission
☐ 19 U.S.C. § 1592(d) - Restoration of lawful duties
☐ 19 U.S.C. § 1595a - Merchandise introduced contrary to law
☐ Other: [____________________]
Degree of Culpability Alleged:
☐ Fraud
☐ Gross Negligence
☐ Negligence
B. Description of Alleged Violation
CBP's Allegations:
[________________________________]
[________________________________]
[________________________________]
[________________________________]
C. Penalty Amount
Claimed Penalty Amount: $[____________________]
Breakdown:
| Element | Amount |
|---------|--------|
| Base Penalty | $[__________] |
| Interest | $[__________] |
| Loss of Revenue | $[__________] |
| Other | $[__________] |
| Total | $[__________] |
Maximum Statutory Penalty:
- Fraud: Domestic value of merchandise
- Gross Negligence: Lesser of domestic value or 4x lawful duties
- Negligence: Lesser of domestic value or 2x lawful duties
SECTION 6: RESPONSE TO ALLEGATIONS
A. Petitioner's Position
Does petitioner contest the violation?
☐ Yes - Contest violation entirely
☐ Partial - Contest degree of culpability
☐ No - Acknowledge violation, seek mitigation
B. Statement of Facts
Petitioner's Description of Events:
[________________________________]
[________________________________]
[________________________________]
[________________________________]
[________________________________]
[________________________________]
C. Disputed Facts (if any)
Specifically identify any facts alleged by CBP that are disputed:
[________________________________]
[________________________________]
[________________________________]
D. Legal Arguments
If contesting culpability level, explain why a lower standard applies:
[________________________________]
[________________________________]
[________________________________]
If contesting violation entirely, provide legal basis:
[________________________________]
[________________________________]
[________________________________]
SECTION 7: MITIGATING FACTORS
A. Mitigating Factor Checklist
Check all applicable mitigating factors and provide supporting explanation:
General Mitigating Factors:
☐ Contributory CBP Error
Explain: [________________________________]
☐ Cooperation with CBP Investigation
Explain: [________________________________]
☐ Good Faith Effort to Comply
Explain: [________________________________]
☐ Immediate Corrective Action
Explain: [________________________________]
☐ No Prior Violations
Years of compliant importing: [____]
Number of entries without violation: [____]
☐ Isolated Occurrence
Explain why this was not systemic: [________________________________]
☐ Inexperience with Import Regulations
Length of time importing: [____]
Explain: [________________________________]
☐ Reliance on Third-Party Expert
Name of broker/consultant: [________________________________]
Explain reliance: [________________________________]
☐ Complex or Ambiguous Regulations
Cite specific regulations: [________________________________]
Explain ambiguity: [________________________________]
☐ Small Business Considerations
Annual revenue: $[____________________]
Number of employees: [____]
B. Prior Disclosure Considerations
Was a prior disclosure made?
☐ Yes ☐ No
If Yes:
Date of Prior Disclosure: [__/__/____]
Was disclosure made before commencement of formal investigation?
☐ Yes ☐ No
Did disclosure identify all violations?
☐ Yes ☐ No
Note: Valid prior disclosure generally limits penalty to interest on unpaid duties.
C. Compliance Program
Does petitioner have a compliance program?
☐ Yes ☐ No
If Yes, describe:
☐ Written procedures for customs compliance
☐ Internal audits conducted
☐ Training for personnel
☐ Use of licensed customs broker
☐ C-TPAT membership
☐ Trusted Trader status
☐ Other: [____________________]
Steps taken to prevent recurrence:
[________________________________]
[________________________________]
[________________________________]
SECTION 8: ABILITY TO PAY
A. Financial Hardship Claim
Is petitioner claiming inability to pay?
☐ Yes ☐ No
If Yes, provide:
☐ Financial statements (3 years)
☐ Tax returns (3 years)
☐ Bank statements (12 months)
☐ Statement of assets and liabilities
☐ Explanation of financial circumstances
Narrative Explanation:
[________________________________]
[________________________________]
[________________________________]
B. Impact of Penalty
Describe impact of penalty payment:
☐ Would cause business failure
☐ Would result in employee layoffs (number: [____])
☐ Would significantly impair operations
☐ Other: [________________________________]
SECTION 9: PROPOSED RESOLUTION
A. Relief Requested
Petitioner requests:
☐ Complete Remission (penalty cancelled)
Basis: [________________________________]
☐ Mitigation to Specific Amount: $[____________________]
Basis: [________________________________]
☐ Reduction of Culpability Level
From: [____________________] To: [____________________]
Basis: [________________________________]
☐ Payment Plan
Proposed terms: [________________________________]
☐ Other Relief:
[________________________________]
B. Calculation of Mitigated Penalty
Under CBP Mitigation Guidelines (19 CFR Part 171, Appendix B):
| Culpability Level | Baseline Penalty | Mitigating Factors | Proposed Penalty |
|---|---|---|---|
| [____________] | $[__________] | [__________]% reduction | $[__________] |
Explanation of Calculation:
[________________________________]
[________________________________]
SECTION 10: PRIOR DISCLOSURE ASSERTION (IF APPLICABLE)
Prior Disclosure Under 19 CFR 162.74
I assert that a valid prior disclosure was made:
Date of Disclosure: [__/__/____]
Disclosure Made To: [________________________________]
Method: ☐ Written ☐ Electronic
The disclosure was:
☐ Made before commencement of formal investigation
☐ Made before knowledge of investigation
☐ Complete and accurate
☐ Accompanied by tender of unpaid duties
Supporting Documentation:
☐ Copy of prior disclosure submission attached
☐ Receipt/acknowledgment from CBP attached
☐ Proof of duty payment attached
Applicable Penalty Limitation:
Under valid prior disclosure, penalty limited to:
- Interest on unpaid duties
- No penalty for violation discovered through disclosure
SECTION 11: SUPPORTING DOCUMENTATION
Document Checklist
☐ Copy of Pre-Penalty Notice/Penalty Notice
☐ Entry documentation (Entry Summary, invoice, packing list)
☐ Correspondence with CBP
☐ Prior disclosure submission (if applicable)
☐ Compliance program documentation
☐ Training records
☐ Internal audit reports
☐ Broker correspondence
☐ Financial statements (if claiming inability to pay)
☐ Corporate resolution authorizing petition
☐ Power of Attorney
☐ Prior CBP rulings (if applicable)
☐ Expert reports or opinions
☐ Witness statements
☐ Other: [____________________]
SECTION 12: CERTIFICATION
I, the undersigned, hereby certify that:
☐ I am authorized to submit this petition on behalf of the petitioner.
☐ All information provided is true, accurate, and complete to the best of my knowledge and belief.
☐ I understand that providing false information may result in additional penalties.
☐ I have attached all relevant documentation in support of this petition.
☐ I request an opportunity to be heard or present additional information if necessary.
☐ I understand that this petition must be filed within the response deadline.
Signature: ________________________________
Printed Name: [________________________________]
Title: [________________________________]
Date: [__/__/____]
SECTION 13: FILING INSTRUCTIONS
A. Response Deadlines
Pre-Penalty Notice: 30 days from date of notice to respond
Penalty Notice: 60 days from date of notice to file petition
Supplemental Petition: 60 days from denial of initial petition
B. Where to File
For penalties under $200,000:
Fines, Penalties, and Forfeitures Officer
At the issuing CBP port
For penalties $200,000 and above:
Chief, Penalties Branch
Regulations and Rulings
Office of Trade
U.S. Customs and Border Protection
Washington, DC 20229
C. Electronic Filing
Check with issuing office for electronic submission options.
SECTION 14: MITIGATION GUIDELINES SUMMARY
Negligence Cases
Baseline: 2x loss of revenue (or 2x the difference between actual and correct duties)
Mitigating Factors May Reduce To:
- First offense with no aggravating factors: May reduce to 1x loss of revenue
- Prior good record: May reduce penalty
- Contributory CBP error: May reduce penalty
- Good faith compliance efforts: May reduce penalty
Gross Negligence Cases
Baseline: 4x loss of revenue
Mitigating Factors: Similar considerations but higher threshold for reduction
Fraud Cases
Baseline: Domestic value of merchandise
Mitigating Factors: Limited; fraud cases rarely receive significant mitigation
SECTION 15: POST-PETITION PROCESS
A. CBP Review Timeline
- Fines, Penalties, and Forfeitures Officer reviews petition
- Decision typically within 60-180 days (varies by complexity)
- Written decision issued
B. Possible Outcomes
☐ Petition Granted (penalty remitted or mitigated)
☐ Petition Partially Granted
☐ Petition Denied
C. Further Appeals
If petition denied:
- May file Supplemental Petition within 60 days
- May seek administrative review at Headquarters
- May seek judicial review in Court of International Trade (within 180 days of final decision)
SOURCES AND REFERENCES
- 19 U.S.C. § 1592: https://www.law.cornell.edu/uscode/text/19/1592
- 19 U.S.C. § 1618: https://www.law.cornell.edu/uscode/text/19/1618
- 19 CFR Part 171: https://www.ecfr.gov/current/title-19/chapter-I/part-171
- Mitigation Guidelines (Appendix B): https://www.ecfr.gov/current/title-19/chapter-I/part-171/appendix-Appendix%20B%20to%20Part%20171
- CBP Mitigation Guidelines ICP: https://www.cbp.gov/trade/publications/informed-compliance-publication-mitigation-guidelines-fines-penalties-forfeitures-and
- Prior Disclosure: 19 CFR 162.74
PENALTY MAXIMUMS REFERENCE
| Culpability | Merchandise With Duty Loss | Merchandise Without Duty Loss |
|---|---|---|
| Fraud | Domestic Value | Domestic Value |
| Gross Negligence | Lesser of: Domestic Value or 4x duty loss | 40% of Dutiable Value |
| Negligence | Lesser of: Domestic Value or 2x duty loss | 20% of Dutiable Value |
LEGAL NOTICES
Deadline Warning: Failure to respond to a Pre-Penalty Notice or file a timely petition may result in assessment of the maximum penalty and waiver of rights.
Criminal Referral: Fraud cases may be referred for criminal prosecution.
Statute of Limitations: CBP generally has 5 years from date of violation to issue penalty notice.
This template is provided for educational and informational purposes only. Customs penalty cases are complex and have strict deadlines. Consult with a qualified customs attorney before responding to any penalty notice.
About This Template
Jurisdiction-Specific
This template is drafted for general use across all U.S. jurisdictions. State-specific versions with local statutory references are also available.
How It's Made
Drafted using current statutory databases and legal standards for international trade. Each template includes proper legal citations, defined terms, and standard protective clauses.
Important Notice
This template is provided for informational purposes. It is not legal advice. We recommend having an attorney review any legal document before signing, especially for high-value or complex matters.
Last updated: February 2026