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Forms For Patent Applications Filed On Or After September 16, 2012

All of the forms on this page are for use in patent applications filed on or after September 16, 2012. Forms for use in patent applications filed before September 16, 2012, may be accessed here. Forms to request participation in the Patent Prosecution Highway (regardless of application filing date) may be accessed here.

The expiration date at the top right-hand corner of each page of certain forms is a requirement of the OMB approval process under the Paperwork Reduction Act (PRA) of 1995, and does not indicate a date beyond which the forms are invalid.  The date shown in the middle column below indicates when each form was last revised.

All forms are provided in Adobe's PDF format. You must have Adobe Acrobat reader installed on your computer (at minimum, Acrobat 5.0 is required). 


IMPORTANT NOTICES AND REMINDERS REGARDING USE OF PATENT FORMS

The Office provides forms to the public to use in certain situations to assist in the filing of correspondence for a certain purpose and to meet certain requirements for patent applications and proceedings. Use of the forms for purposes for which they were not designed is prohibited.

No changes to certification statements on the Office forms (e.g., oath or declaration forms, terminal disclaimer forms, petition forms, and nonpublication request form) may be made. 

The existing text of a form, other than a certification statement, may be modified, deleted, or added to, if all text identifying the form as an Office form is removed.

The presentation to the Office (whether by signing, filing, submitting, or later advocating) of any Office form with text identifying the form as an Office form by a party, whether a practitioner or non-practitioner, constitutes a certification under 37 CFR 10.18(b) that the existing text and any certification statements on the form have not been altered other than permitted by EFS-Web customization.

See 37 CFR 1.4(d)(3).


Correspondence filed in the Office for a patent application, patent, or a reexamination proceeding may be signed by either an S-signature (a signature between forward slash marks -> /yournamehere/) or a handwritten signature. See 37 CFR 1.4. >> Read more

NOTE:  To report a problem with a fillable patent form, please e-mail ebc@uspto.gov.


To apply for a patent under 35 U.S.C. 111, transfer the ownership of a patent, or request other actions related to patents, certain information specified in the Patent Laws (Title 35, United States Code) and Rules (Title 37, Code of Federal Regulations) must be submitted to the U.S. Patent and Trademark Office (USPTO). The USPTO provides patent forms to the public to use in certain situations, but, in almost all situations the USPTO does not require use of a form, or even provide a form, to submit the information required. The patent forms provided below were designed as a guide to assist patent applicants and patentees in making certain limited submissions to the USPTO. Use of the patent forms for purposes they were not designed for is not advised. The Patent Laws and Rules should be your primary guide to what information must be submitted and how it must be submitted. Any submission that meets all requirements of the Patent Laws, Rules, and Orders and Notices of the Director of the US Patent and Trademark Office, will be accepted, whether or not it is similar to any of the patent forms provided below. A submission may not be accepted, even if it is identical to a patent form provided below, if in a specified case, it does not meet all the requirements of Patent Laws, Rules, and Orders and Notices. For current fee amounts, please click here. A surcharge will be due if the basic filing fee is not paid on filing. Other consequences may occur if the proper fees are not paid or if the required action is not taken.

For general assistance in completing the patent forms below or to request paper copies of the forms, contact General Information Services Division at 1-800-786-9199 (1-800-PTO-9199) or 571-272-1000, and select option 2 .


To open a particular form for immediate use, click on the link. The forms are capable of being completed on your computer. To save a form for later use, use your browser's right mouse button to click on the form hyperlink, save the form file on your machine's hard disk, and open it locally in the Acrobat reader.

About the required Adobe Acrobat Viewer:

All forms are provided in Adobe's PDF format. You must have Adobe's free Acrobat reader installed on your computer.

NOTE: The USPTO cannot assist you with the installation and configuration of the Acrobat reader on your system and printer. When Adobe Acrobat reader is installed as a browser plug-in, it sometimes exhibits problems printing complex documents. If you experience such problems, (which may even cause your browser application to fail), use your browser's right mouse button to click on the form hyperlink, save the form file on your machine's hard disk, and open it locally in the Acrobat reader.

The free Adobe Acrobat reader plug-in does not permit you to save a partially-filled form for later use. In order to save a partially-filled Fillable PDF form for later use, you must purchase and install the full Adobe Acrobat 5 software application or an equivalent product that has form data saving and editing capability.

Acrobat 5.0 (minimum) is required for all forms >> Links for downloading plugins or viewers

MS Word Viewer is required for viewing .doc files [DOC]
Notice regarding Section 508 of the Workforce Investment Act of 1998: Section 508 of the Workforce Investment Act of 1998 requires all United States Federal Agencies with Web sites to make them accessible to individuals with disabilities. At this time, the forms below do not meet all standards for web accessibility.

Until changes can be implemented to make forms fully accessible to individuals with disabilities, the USPTO is providing access assistance via telephone.
For interim accessibility, contact General Information Services Division at 1-800-786-9199 (1-800-PTO-9199) or 571-272-1000, and select option 2. TTY service: 571-272-9950.
NOTICE: If any part of the preprinted text of a PTO form is modified, deleted or added to, the form number and the OMB information in the header and footer of the form MUST be removed from the altered form.

 

Appeal
AIA/31 03/2014 Notice of Appeal
AIA/32 03/2013 Request for Oral Hearing Before the Patent Trial and Appeal Board
AIA/33 03/2013 Pre-Appeal Brief Request for Review (more information)
AIA/34 05/2014 Certification and Transmittal of Appeal Forwarding Fee (more information)
Application Data Sheet
AIA/14  12/2013 Application Data Sheet (37 CFR 1.76)  (instructions  [DOC]) Supplemental instructions for ADS for 35 U.S.C. 371 national stage applications are available here.
Certificate of Mailing/Transmission
SB/92  07/2009 Certificate of Mailing under 37 CFR 1.8
SB/97  07/2009 Certificate of Transmission under 37 CFR 1.8
Customer Number
SB/124  12/2008 Request for Customer Number Data Change
SB/125  11/2008 Request for Customer Number
Express Abandonment
AIA/24  07/2012 Express Abandonment Under 37 CFR 1.138
AIA/24A  07/2012 Petition for Express Abandonment to Avoid Publication under 37 CFR 1.138(c)
AIA/24B  09/2012 Petition for Express Abandonment to Obtain a Refund
Extended Missing Parts Pilot Program
AIA/421  01/2013 Certification and Request for Extended Missing Parts Pilot Program
Fees
PTO-2038  05/2012 Credit Card Payment Form and Instructions
 SB/06  03/2013 Patent Application Fee Determination Record
 SB/07  07/2007 Multiple Dependent Claim Fee Calculation Sheet 
SB/15A  07/2014 Certification of Micro Entity Status - Gross Income Basis (Gross Income Limit) (Who may sign the SB/15A and SB/15B?)
SB/15B  07/2014 Certification of Micro Entity Status - Institution of Higher Education Basis (Who may sign the SB/15A and SB/15B?)
 SB/17  03/2013 Fee Transmittal
 SB/17i  03/2013 Processing Fee Under 37 CFR 1.17(i) Transmittal
AIA/17p   03/2013 Petition Fee Under 37 CFR 1.17(f), (g) & (h) Transmittal
 SB/45  03/2013 Maintenance Fee Transmittal
SB/56   03/2013 Reissue Application Fee Transmittal
 SB/91  07/2009 Deposit Account Order Form
Information Disclosure Statement
SB08a  07/2009 Information Disclosure Statement by Applicant [page 1]
SB08b  07/2009 Information Disclosure Statement by Applicant [page 2] 
SB08a - EFS-Web  01/2010 Information Disclosure Statement by Applicant [page 1] - EFS-Web auto-load version (instructions) [DOC])
SB09  08/2014 Certification and Request for Consideration of an Information Disclosure Statement Filed After Payment of the Issue Fee Under the QPIDS Pilot Program (more information)
Inventor's Oath or Declaration (Quick Reference Guide)
AIA/01  06/2012 Declaration (37 CFR 1.63) For Utility Or Design Application Using An Application Data Sheet
(37 CFR 1.76) (Non-English language translations)  Download AIA/01 INSTRUCTIONS. [PDF]
AIA/02  07/2013 Substitute Statement In Lieu Of An Oath Or Declaration For Utility Or Design Patent Application
(35 U.S.C. 115(d) And 37 CFR 1.64) (Non-English language translations)  Download AIA/02 INSTRUCTIONS. [PDF]
AIA/03  06/2012 Declaration (37 CFR 1.63) For Plant Application Using An Application Data Sheet (37 CFR 1.76)
AIA/04  09/2013 Substitute Statement In Lieu Of An Oath Or Declaration For Plant Patent Application
(35 U.S.C. 115(d) And 37 CFR 1.64)
AIA/05  06/2012 Reissue Application Declaration By The Inventor
AIA/06  06/2012 Reissue Application Declaration By The Assignee
AIA/07  09/2013 Substitute Statement In Lieu Of An Oath Or Declaration For Reissue Patent Application
(35 U.S.C. 115(d) And 37 CFR 1.64)
AIA/08  06/2012 Declaration For Utility Or Design Patent Application (37 CFR 1.63)  Download AIA/08 INSTRUCTIONS. [PDF]
AIA/09  06/2012 Plant Patent Application (35 U.S.C. 161) Declaration (37 CFR 1.162)
AIA/10  06/2012 Supplemental Sheet For Declaration  Download AIA/10 INSTRUCTIONS. [PDF]
AIA/11  06/2012 Substitute Statement Supplemental Sheet  Download AIA/11 INSTRUCTIONS. [PDF]
Nonpublication Request
SB/35  07/2009 Nonpublication Request under 35 U.S.C. 122(b)(2)(B)(i)  Note:  This form must be signed in compliance with 37 CFR 1.33(b) and submitted with the application upon filing.
SB/36  07/2009 Rescission of Previous Nonpublication Request (35 U.S.C. 122(b)(2)(B)(ii)) and, if applicable, Notice of Foreign Filing (35 U.S.C. 122(b)(2)(B)(iii))
Patent Cooperation Treaty (PCT)
PTO-1390 (pre-AIA)  05/2013 Transmittal Letter to the U.S. Designated/Elected Office (DO/EO/US) Concerning a Submission under 35 U.S.C. 371 (for PCT filing dates before March 16, 2013)
 PTO-1390  06/2013 Transmittal Letter to the U.S. Designated/Elected Office (DO/EO/US) Concerning a Submission under 35 U.S.C. 371 (for PCT filing dates on or after March 16, 2013)
Petitions
 SB/436  05/2014 Certification and Petition to Make Special Under the Glossary Pilot Program
 AIA/22  03/2013 Petition for Extension of Time Under 37 CFR 1.136(a)
 SB/23  07/2009 Petition for Extension of Time Under 37 CFR 1.136(b)
SB/64  12/2013 Petition for Revival of an Application for Patent Abandoned Unintentionally under 37 CFR 1.137(a)  Note:  A Petition for Revival to accept the late payment of issue fee may alternatively be filed as a Web-based ePetition.  Click here for more information.
SB/64a  12/2013 Petition for Revival of an Application for Patent Abandoned for Failure to Notify the Office of a Foreign or International Filing (37 CFR 1.137(f))  Note:  A Petition for Revival of an Application for Patent Abandoned for Failure to Notify the Office of a Foreign or International Filing may alternatively be filed as a Web-based ePetition.  Click here for more information.
SB/66  12/2013 Petition to Accept Unintentionally Delayed Payment of Maintenance Fee in an Expired Patent (37 CFR 1.378(b)). Use of this form is for processing by the Office of Petitions.
SB/66 - EFS-Web  12/2013 Petition to Accept Unintentionally Delayed Payment of Maintenance Fee in an Expired Patent (37 CFR 1.378(b)) - EFS-Web auto-grant version (instructions [DOC]). Use of this form is for EFS-Web auto-processing by the applicant ONLY. This form should not be submitted for processing by the Office of Petitions.
SB/130 - EFS-Web  07/2009 Petition to Make Special based on Age - EFS-Web auto-load version (instructions [DOC])
 SB/28  07/2009 Petition to Make Special Under Accelerated Examination Program. This form must be filed via EFS-Web.
AIA/83  04/2013 Request for Withdrawal as Attorney or Agent and Change of Correspondence Address  Note:  A Request for Withdrawal As Attorney or Agent may alternatively be filed as a Web-based ePetition. Click here for more information.
Power of Attorney and Change of Correspondence Address
AIA/80  07/2012 Power Of Attorney To Prosecute Applications Before The USPTO (guidance for form AIA/80)  Download AIA/80 INSTRUCTIONS. [PDF]
AIA/81  07/2012 Power Of Attorney To One Or More Of The Joint Inventors And Change Of Correspondence Address (guidance for form AIA/81) Download AIA/81 INSTRUCTIONS. [PDF]
AIA/81B  07/2013 Reexamination or Supplemental Examination – Patent Owner Power of Attorney or Revocation of Power of Attorney With a New Power Of Attorney and Change of Correspondence Address for Reexamination or Supplemental Examination and Patent
SB/81C  12/2008 Reexamination - Third Party Requester Power of Attorney of Revocation of Power of Attorney With a New Power of Attorney and Change of Correspondence Address
AIA/82  07/2013 Transmittal For Power of Attorney To One Or More Registered Practitioners/Power Of Attorney By Applicant (Non-English language translations) (guidance for form AIA/82)  Download AIA/82 INSTRUCTIONS. [PDF]
AIA/122  08/2012 Change of Correspondence Address Application
AIA/123  08/2012 Change of Correspondence Address Patent
Prioritized Examination
AIA/424  04/2014 Certification and Request for Prioritized Examination Under 37 CFR 1.102(e)
Priority Document Exchange
SB/38  04/2013 Request to Retrieve Electronic Priority Application(s) (for more information click here)
SB/39  07/2009 Authorization to Permit Access to Application by Participating Offices (for more information click here)
Reexamination
SB/57  07/2013 Request for Ex Parte Reexamination Transmittal Form
Reissue Application  (Reissue Application Filing Guide)
AIA/53  09/2012 Reissue Application:  Consent of Assignee; Statement of Non-Assignment
Request for Continued Examination (RCE)
SB/30  07/2009 Request for Continued Examination (RCE) Transmittal
SB/30 EFS-WEB  07/2009 Request for Continued Examination (RCE) Transmittal (Submitted Only via EFS-Web)  EFS-WEB SB30 instructions [DOC]
Statement Under 37 CFR 3.73(c)
 AIA/96  08/2012 Statement Under 37 CFR 3.73(c) 
Supplemental Examination
 SB/59  07/2012 Request For Supplemental Examination Transmittal Form 
Terminal Disclaimer (Note:  A Terminal Disclaimer may alternatively be filed as a Web-based eTerminal Disclaimer over EFS-Web. Click here for more information.)
For filing in a patent application:
AIA/25  04/2013 Terminal Disclaimer to Obviate a Provisional Double Patenting Rejection Over a Pending "Reference" Application
AIA/26  04/2013 Terminal Disclaimer to Obviate a Double Patenting Rejection Over a "Prior" Patent
For filing in an issued patent:
SB/25a  02/2014 Terminal Disclaimer in a Patent or Proceeding in view of an Application
SB/26a  02/2014 Terminal Disclaimer in a Patent or Proceeding in view of Another Patent
 Third-Party Submissions 
 SB/429  03/2013 Third-Party Submission Under 37 CFR 1.290 (instructions)
Transmittals and Cover Sheets
AIA/15  03/2013 Utility Patent Application Transmittal
SB/16  03/2013 Provisional Application for Patent Cover Sheet
SB/16 - EFS-Web  11/2008 Provisional Application for Patent Cover Sheet - EFS-Web auto-load version (instructions [DOC])
AIA/18  03/2013 Design Patent Application Transmittal
AIA/19  03/2013 Plant Patent Application Transmittal
SB/29  08/2008 For Design Applications Only:  Continued Prosecution Application (CPA) Request Transmittal
AIA/50  03/2013 Reissue Patent Application Transmittal
PTO-1595  06/2012 Recordation Form Cover Sheet - Patents Only

 

Miscellaneous Forms

Certification and Authorization to Permit Access to Search Results by the European Patent Office (EPO)
SB/69 10/2012 Certification and Authorization to Permit Access to Search Results by the European Patent Office (EPO)
Complaint Regarding Invention Promoter
SB/2048 01/2012 Complaint Regarding Invention Promoter
Recordation Form Cover Sheet (Trademarks Only)
PTO-1594 12/2011 Recordation Form Cover Sheet (for Trademarks ONLY)
Request for Transfer of a Computer Readable Form Under 37 CFR 1.821(e)
SB/93 03/2010 Request for a Transfer of a Computer Readable Form

 

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Last Modified: 9/19/2014 6:21:28 PM