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Patent Forms (alphabetical listing)

  The following is a alternative, alphabetized listing of USPTO patent and PCT forms for use in applications filed before 9/16/12. Please see Forms for important disclaimers, notices and information about using any of these forms. USPTO patent forms for use in applications filed on or after 9/16/12 may be accessed here:  http://www.uspto.gov/forms/aia_forms.jsp

Most forms on this page are available in Adobe's PDF format for viewing and printing. To use them you must install Adobe's free Acrobat reader on your computer. (Read full explanation, particularly for fillable PDFs on the Forms page)
For MS Word files [DOC] found on this page, get the MS Word Viewer here .

 Category  Form Number
[PDF]
>
SORT FORMS BY NUMBER
 Fillable PDF  Title
Financial      ACH form for Vendor/Miscellaneous Payment
Financial PTO-2038 PTO-2038 Credit Card Payment Form and Instructions
Patent PTO/SB/47 SB47 Address Indication Form – for Fees
Patent PTO/SB/14 SB14 EFS-WEB Application Data Sheet 37 CFR 1.76
Patent PTO/SB/03 SB03 Application for a  Plant Patent (35 USC 161) Declaration (37 CFR 1.63) [2 pages]. To appoint an attorney or agent, use form PTO/SB/81
Patent
Atty/Agent
PTO/SB/158   Application for Registration to Practice Before the USPTO
Patent PTO/SB/84   Authorization to Act in a Representative Capacity (for more information click here )
Patent PTO/SB/39 SB39 Authorization to Permit Access to Application by Participating Offices (for more information  click here [PDF] )
Patent eBiz PTO-2042   Certificate Action Form
Patent PTO/SB/44
  ( same as PTO-1050)
SB44 Certificate of Correction
Patent PTO/SB/97   Certificate of Transmission under 37 CFR 1.8
Patent PTO/SB/69 SB69 Certification and Authorization To Permit Access To Search Results By The European Patent Office (EPO)
Patent PTO/SB/09 SB09 Certification and Request for Consideration of an Information Disclosure Statement Filed After Payment of the Issue Fee Under the QPIDS Pilot Program
Patent PTO/SB/421 SB421 Certification and Request for Extended Missing Parts Pilot Program
Patent PTO/SB/424 SB424 Certification and Request for Prioritized Examination Under 37 CFR 1.102(e)
Patent PTO/SB/92   Certification of Mailing under 37 CFR 1.8
Patent PTO/SB/122 SB122 Change of Correspondence Address, Application
Patent PTO/SB/123 SB123 Change of Correspondence Address, Patent
 Patent PTO/SB/2048 SB/2048 Complaint Regarding Invention Promoter
Patent PTO/SB/53 SB53 Consent of Assignee; Statement of Non-Assignment - Reissue Application:
Patent PTO/SB/29 SB29 Continued Prosecution Application (CPA) Request Transmittal: For Design Applications Only [2 pages]
Patent eBiz       Customer Number Request Form
Patent eBiz     Customer Number Data Change, Request for
Patent eBiz     Customer Number Update Template
Patent PTO/SB/03a   Declaration (37 CFR 1.63) for Plant Application Using An Application Data Sheet (37 CFR 1.76).
To appoint an attorney or agent, use form PTO/SB/81
Patent PTO/SB/01A SB01A Declaration (37 CFR 1.63) for Utility or Design Application Using An Application Data Sheet (37 CFR 1.76) . To appoint an attorney or agent, use form PTO/SB/81
Patent PTO/SB/02 SB02 Declaration (Additional Inventors) and Supplemental Priority Data Sheet [2 pages] .
Patent PTO/SB/02CN SB02CN Declaration (Additional Inventors) and Supplemental Priority Data Sheet [2 pages]. (Chinese Language Declaration for Additional Inventors.)
Patent PTO/SB/02DE SB02DE Declaration (Additional Inventors) and Supplemental Priority Data Sheet [2 pages]. (German Language Declaration for Additional Inventors.)
Patent PTO/SB/02ES SB02ES Declaration (Additional Inventors) and Supplemental Priority Data Sheet [2 pages]. (Spanish Language Declaration for Additional Inventors.)
Patent PTO/SB/02FR  SB02FR Declaration (Additional Inventors) and Supplemental Priority Data Sheet [2 pages]. (French Language Declaration for Additional Inventors.)
Patent PTO/SB/02IT SB02IT Declaration (Additional Inventors) and Supplemental Priority Data Sheet [2 pages]. (Italian Language Declaration for Additional Inventors.)
Patent PTO/SB/02JP SB02JP Declaration (Additional Inventors) and Supplemental Priority Data Sheet [2 pages]. (Japanese Language Declaration for Additional Inventors.)
Patent PTO/SB/02KR SB02KR Declaration (Additional Inventors) and Supplemental Priority Data Sheet [2 pages]. (Korean Language Declaration for Additional Inventors.)
Patent PTO/SB/02NL SB02NL Declaration (Additional Inventors) and Supplemental Priority Data Sheet [2 pages]. (Dutch Language Declaration for Additional Inventors.)
Patent PTO/SB/02RU SB02RU Declaration (Additional Inventors) and Supplemental Priority Data Sheet [2 pages]. (Russian Language Declaration for Additional Inventors.)
Patent PTO/SB/02SE SB02SE Declaration (Additional Inventors) and Supplemental Priority Data Sheet [2 pages]. (Swedish Language Declaration for Additional Inventors.)
Patent PTO/SB/101 SB101 Declaration for Utility or Design Patent Application (37 CFR 1.63) (Chinese Language Declaration) [4 pages]
Patent PTO/SB/102 SB102 Declaration for Utility or Design Patent Application (37 CFR 1.63) (Dutch Language Declaration) [4 pages]
Patent PTO/SB/103 SB103 Declaration for Utility or Design Patent Application (37 CFR 1.63) (German Language Declaration) [4 pages]
Patent PTO/SB/104 SB104 Declaration for Utility or Design Patent Application (37 CFR 1.63) (Italian Language Declaration) [4 pages]
Patent PTO/SB/105 SB105 Declaration for Utility or Design Patent Application (37 CFR 1.63)(French Language Declaration) [4 pages]
Patent PTO/SB/106 SB106 Declaration for Utility or Design Patent Application (37 CFR 1.63) (Japanese Language Declaration) [4 pages]
Patent PTO/SB/107 SB107 Declaration for Utility or Design Patent Application (37 CFR 1.63) (Russian Language Declaration) [4 pages]
Patent PTO/SB/108 SB108 Declaration for Utility or Design Patent Application (37 CFR 1.63) (Swedish Language Declaration) [4 pages]
Patent PTO/SB/109 SB109 Declaration for Utility or Design Patent Application (37 CFR 1.63) (Spanish Language Declaration) [4 pages]
Patent PTO/SB/110 SB110 Declaration for Utility or Design Patent Application (37 CFR 1.63) (Korean Language Declaration) [4 pages]
Patent PTO/SB/02LR   Declaration (Supplemental sheets for Legal Representatives)
Patent PTO/SB/52 SB52 Declaration by the Assignee [2 pages] -Reissue Application
Patent PTO/SB/51 SB51 Declaration by the Inventor [2 pages] -Reissue Application
Patent PTO/SB/01 SB01 Declaration for Utility or Design Patent Application [2 pages]. To appoint an attorney or agent, use form PTO/SB/81
Patent PTO/SB/91   Deposit Account Order Form
Patent PTO/SB/43   Disclaimer in Patent under 37 CFR 1.321(a)
Patent PTO/SB/24   Express Abandonment Under 37 CFR 1.138
Patent PTO/SB/06
  ( same as PTO-875)
  Fee Determination Record - Patent Application
Patent PTO/SB/17
  Fee Transmittal (for more information, click here )
Patent PTO/SB/56 SB56 Fee Transmittal Form -Reissue Application
Patent PTOL-85B PTOL-85B Fee Transmittal (Part B) of the Notice of Allowance and Fee(s) Due form
Patent PTO/SB/42   Information Disclosure Citation in a Patent  37 CFR 1.501
Patent PTO/SB/08a (pg 1)
PTO/SB/08b (pg 2)

   ( same as PTO-1449)

SB08a (pg 1)
SB08b (pg 2) 

SB08a EFS-WEB

Information Disclosure Statement by Applicant [2 pages]. Click Here for a listing of kind codes used on U.S. Patent documents
Patent PTOL-413A PTOL-413A Interview Request Form (Applicant Initiated). This form is to implement a policy change regarding interview summaries. See MPEP 713.04  Link to MPEP .
Patent PTO/SB/413C PTO/SB/413C Request for First-Action Interview (Pilot Program)
Patent PTO/SB/45 SB45
Maintenance Fee Transmittal Form. Click Here for an explanation on how to assert a change in small entity status when filing this form
Patent PTO/SB/07
  ( same as PTO-1360)
  Multiple Dependent Claim Fee Calculation Sheet
Patent PTO/SB/35   Nonpublication Request under 35 U.S.C. 122(b)(2)(B)(i)
Patent PTO/SB/31   Notice of Appeal from the Examiner to the Board of Patent Appeals and Interferences
Patent PTO/SB/1209   Oath or Affirmation
Patent PTO/SB/81A SB81A Patent - Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address
Patent PTO/SB/123A SB123A Patent Owner Change of Correspondence Address - Reexamination Proceeding
Patent PTO/SB/17p
(Effective 22NOV2004!)
 SB17p Petition Fee Under 37 CFR 17(f), (g) & (h) Transmittal
Patent PTO/SB/24a SB24a  Petition for Express Abandonment to Avoid Publication under 37 CFR 1.138(c)
Patent PTO/SB/24b   Petition for Express Abandonment to Obtain a Refund
Patent PTO/SB/22   Petition for Extension of Time under 37 CFR 1.136(a)
Patent PTO/SB/23
(Effective 22NOV2004!)
SB23  Petition for Extension of Time under 37 CFR 1.136(b)
Patent  PTO/SB/64a SB64a 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))
 Patent  PTO/SB/64 SB64 Petition for Revival of an Application for Patent Abandoned Unintentionally Under 37 CFR 1.137(a) [2 pages]
Patent  PTO/SB/66
EFS-WEB PTO/SB/66
SB66  1
(last updated 2013/12)
EFS-WEB  SB66
 2
 1 Petition to Accept Unintentionally Delayed Payment of Maintenance Fee in an Expired Patent (37 CFR 1.378(b)) [3 pages]. Use of this form is for processing by the Office of Petitions .
2 Auto-Grant Petition to Accept Unintentionally Delayed Payment of Maintenance Fee in an Expired Patent (37 CFR 1.378(b)) [PDF Fillable form] (for instructions  click here [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 .
Patent PTO/SB/130
SB130 EFS-WEB
Petition to Make Special Based on Age
SB130 EFS-WEB Instructions [DOC]
Patent PTO/SB/28
SB28 EFS-WEB
(only for use through
EFS-Web on or
after 8/25/06)
Petition to Make Special Under Accelerated Examination Program
Adobe Reader version 7.0.8, 7.0.9, 8.1.1 or 8.1.2 ONLY.
Patent PTO/SB/420
N/A Petition To Make Special Under The Green Technology Pilot Program
The Green Tech pilot is CLOSED. Please see the Green Tech page for more information.
Patent PTO/SB/81 SB81 Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address.
Patent  PTO/SB/80   Power of Attorney to Prosecute Applications Before the USPTO (for more information click here )
Patent PTO/SB/82CN   Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address. (Chinese Language Power of Attorney) [2 pages]
Patent PTO/SB/82DE   Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address. (German Language Power of Attorney) [2 pages]
Patent PTO/SB/82ES   Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address. (Spanish Language Power of Attorney) [2 pages]
Patent PTO/SB/82FR   Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address. (French Language Power of Attorney) [2 pages]
Patent PTO/SB/82IT   Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address. (Italian Language Power of Attorney) [2 pages]
Patent PTO/SB/82JP   Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address. (Japanese Language Power of Attorney) [2 pages]
Patent PTO/SB/82KR   Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address. (Korean Language Power of Attorney) [2 pages]
Patent PTO/SB/82NL   Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address. (Dutch Language Power of Attorney) [2 pages]
Patent PTO/SB/82RU   Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address. (Russian Language Power of Attorney) [2 pages]
Patent PTO/SB/82SE   Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address. (Swedish Language Power of Attorney) [2 pages]
Patent PTO/SB/67   Power to Inspect/Copy
Patent PTO/SB/33   Pre-Appeal Brief Request for Review (For more information,  click here )
Patent PTO/SB/17i   Processing Fee Under 37 CFR 17(i) Transmittal
Patent PTO/SB/16 SB16
Provisional Application for Patent Cover Sheet
Patent PTO/SB/29a   Receipt For Facsimile Transmitted CPA: For Design Applications Only:
Patent PTO-1595 PTO1595 Recordation Form Cover Sheet
Patent PTO/SB/81B SB81B Reexamination - Patent Owner Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address
Patent PTO/SB/81C SB81C Reexamination - Third Party Requester Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address
Patent PTO/SB/68 SB68 Request for Access to an Abandoned Application under 37 CFR 1.14
Patent PTO/SB/30

SB30 

SB30 EFSWEB 

Request for Continued Examination (RCE) Transmittal
Patent PTO/SB/125 SB125 Request for Customer Number
Patent PTO/SB/124 SB124 Request for Customer Number Data Change
Patent PTO/SB/37   Request for Deferral of Examination 37 CFR 1.103(d)
Patent PTO/SB/57   Request for Ex Parte Reexamination Transmittal Form
Patent PTO/SB/27   Request for Expedited Examination of a Design Application (37 CFR 1.155)
Patent PTO/SB/413C SB413C Request for First-Action Interview (Pilot Program)
Patent PTO/SB/32 SB32 Request for Oral Hearing before the Board of Patent Appeals and Interferences
Patent PTO/SB/20PCT-AT SB/20PCT-AT EFS-Web Request for Participation in the Patent Cooperation Treaty - Patent Prosecution Highway (PCT-PPH) Pilot Program Between the Austrian Patent Office (APO) and The USPTO
Patent PTO/SB/20GLBL SB/20GLBL Request for Participation in the Global/IP5 Patent Prosecution Highway (PPH) Pilot Program in the USPTO 
Patent PTO/SB/20AT SB/20AT EFS-Web Request for Participation in the Patent Prosecution Highway (PPH) Pilot Program Between the Austrian Patent Office (APO) and the USPTO
Patent PTO/SB/20CO SB/20CO EFS-Web Request for Participation in the Patent Prosecution Highway (PPH) Program Between the Colombian Superintendence of Industry and Commerce and the USPTO
Patent PTO/SB/20DE SB/20DE EFS-Web Request for Participation in the Patent Prosecution Highway (PPH) Pilot Program Between Germany (DPMA) and the USPTO
Patent PTO/SB/20SG SB/20SG EFS-Web Request for Participation in the Patent Prosecution Highway (PPH) Pilot Program Between the Intellectual Property Office of Singapore (IPOS) and the USPTO
Patent PTO/SB/20MX SB/20MX EFS-Web Request for Participation in the Patent Prosecution Highway (PPH) Pilot Program Between the Mexican Institute of Industrial Property (IMPI) and the USPTO
Patent PTO/SB/20TW SB/20TW EFS-Web Request for Participation in the Patent Prosecution Highway (PPH) Program Between the Taiwan Intellectual Property Office (TIPO) and the USPTO
Patent PTO/SB/83 SB83 Request for Withdrawal As Attorney or Agent and Change of Correspondence Address
Patent PTO/SB/38 SB38 Request to Retrieve Electronic Priority Application(s) (for more information  click here [PDF] )
Patent PTO/SB/36   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 PTO/SB/55 Deleted Statement as to Loss of Original Patent - Reissue Patent Application
 >> See changes to 37 CFR 1.178. >>  Read more  [PDF]
Patent PTO/SB/96 SB96 Statement Under 37 CFR 3.73(b)
Patent eBiz      Subscribers Agreement
Patent PTO/SB/51S SB51S Supplemental Declaration for Reissue Patent Application to Correct "Errors" Statement (37 CFR 1.175)
Patent PTO/SB/04   Supplemental Declaration for Utility or Design Patent Application (37 CFR 1.67)[2 pages]. To appoint an attorney or agent, use form PTO/SB/81
Patent PTO/SB/63 SB63 Terminal Disclaimer to Accompany Petition
Patent Former PTO/SB/62 SB62 Terminal Disclaimer to Accompany Petition (Period Specified) (Deleted as of 10/2007)
Patent PTO/SB/26 SB26 Terminal Disclaimer to Obviate a Double Patenting Rejection over a Prior Patent
Patent PTO/SB/25 SB25 Terminal Disclaimer to Obviate a Provisional Double Patenting Rejection over a Pending Second Application
Patent PTO/SB/123B SB123B Third Party Requester Change of Correspondence Address - Reexamination Proceeding
Patent PTO/SB/21 SB21 Transmittal Form
Patent
Atty/Agent
PTO/SB/275   Undertaking under 37 CFR 10.10(b)
(for former patent examiners)
Patent Cooperation Treaty     >>  Access to more  Patent Cooperation Treaty (PCT) forms on PCT site
Patent Cooperation Treaty PTO/SB/64pct   Petition for Revival of an International Application for Patent Designating the US Abandoned Unintentionally under 37 CFR 1.137(b) [2 pages]
Patent Cooperation Treaty PTO-1390   Transmittal Letter for 371 filing
United States Patent and Trademark Office
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Last Modified: 7/10/2014 5:27:00 PM