Cbp Form 19 - Us Customs And Border Protection
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3Approved OMB No. 1651-0017
DEPARTMENT OF HOMELAND SECURITY
Exp. 03/31/2016
U.S. Customs and Border Protection
1. PROTEST NO. (Supplied by CBP)
PROTEST
Pursuant to Sections 514 & 514(a), Tariff Act of 1930 as amended, 19 CFR Part 174 et. seq.
NOTE: If your protest is denied, in whole or in part, and you wish to CONTEST the denial, you may do so by bringing a
2. DATE RECEIVED (CBP Use Only)
civil action in the U.S. Court of International Trade within 180 days after the date of mailing of Notice of Denial. You
may obtain further information concerning the institution of an action by writing the Clerk of U.S. Court of International
Trade, One Federal Plaza, New York NY 10007 (212-264-2800).
SECTION I - IMPORTER AND ENTRY IDENTIFICATION
3. PORT
4. IMPORTER NO.
5. ENTRY DETAILS
PORT
CHECK
DATE OF
FILER
DATE OF ENTRY
ENTRY NO.
CODE
DIGIT
LIQUIDATION
CODE
6. NAME AND ADDRESS OF IMPORTER OR OTHER PROTESTING PARTY
7. Is Accelerated Disposition being requested (19 CFR 174.22)?
Yes
No
SECTION II - DETAILED REASONS FOR PROTEST
8. With respect to each category of merchandise, set forth, separately, (1) each decision protested, (2) the claim of the protesting party, and (3) the factual material and legal
arguments which are believed to support the protest. All such material and arguments should be specific. General statements of conclusions are not sufficient.
(Attach Additional Sheets if necessary.)
SECTION III - REQUEST FOR DISPOSITION IN ACCORDANCE WITH ACTION ON PREVIOUSLY FILED PROTEST
Protesting party may request disposition in accordance with the action taken on a previously filed protest that
10. DATE OF RECEIPT
9. PROTEST NO. OF PREVIOUSLY
is the subject of a pending application for further review and is alleged to involve the same merchandise and
FILED PROTEST
the same issues. (See 19 CFR 174.13(a)(7).) To request such disposition, enter in Blocks 8 and 9 the protest
number and date of receipt of such previously filed protest.
SECTION IV - SIGNATURE AND MAILING INSTRUCTIONS
11. NAME AND ADDRESS OF PERSON TO WHOM ANY
12. NAME, ADDRESS, AND CBP IDENTIFICATION
13. IF FILING AS ATTORNEY OR AGENT, TYPE OR PRINT
NOTICE OF APPROVAL OR DENIAL SHOULD BE
NUMBER TO WHICH REFUND SHOULD BE SENT
YOUR NAME, ADDRESS AND IMPORTER NUMBER, IF ANY
SENT
14. SIGNATURE
DATE
x
(Optional) SECTION V - APPLICATION FOR FURTHER REVIEW (Fill in Item 1 above if this is a separate Application for Further Review.)
15. MARK BOX CORRESPONDING TO YOUR ANSWER TO EACH OF THE FOLLOWING QUESTIONS
YES
NO
(A)
Have you made prior request of a port director for a further review of the same claim with respect to the same substantially similar merchandise?
(B)
Have you received a final adverse decision from the U.S. Court of International Trade on the same claim with respect to the same category of
merchandise or do you have action involving such a claim pending before the U.S. Court of International Trade?
Have you previously received an adverse administrative decision from the Commissioner of CBP or his designee or have you presently
(C)
pending an application for an administrative decision on the same claim with respect to the same category of merchandise?
16. JUSTIFICATION FOR FURTHER REVIEW UNDER THE CRITERIA IN 19 CFR 174.24 AND 174.25 (Include Applicable Rulings)
(Attach Additional Sheets If Necessary.)
SECTION VI - DECISION (CBP USE ONLY)
17. APPLICATION FOR FURTHER REVIEW
Denied for the
Does not meet
Approved*
Untimely filed
Other, namely
EXPLANATION:
reason checked:
criteria
*When further review only is approved the decision on the protest is suspended, pending issuance of a protest review decision.
18. PROTEST
Rejected as
Denied in full for the
Denied in part for
Untimely filed
Approved
See attached pro-
Other, namely
EXPLANATION:
non-protestable
reason checked:
the reason
test review decision
checked:
19. TITLE OF CBP OFFICER
20. SIGNATURE AND DATE
CBP Form 19 (05/10)
Previous Editions are Obsolete
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