Patent Forms for Applications filed Before September 16, 2012 (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 | 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/15A | SB15A | Certification of Micro Entity Status - Gross Income Basis (Gross Income Limit) (Who may sign the SB/15A and 15B?) |
| Patent | PTO/SB/123 | SB123 | Certification of Micro Entity Status - Institution of Higher Education Basis (Who may sign the SB/15A and 15B?) |
| 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) |
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 |
| 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]. . 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] ). . |
| Patent | PTO/SB/130
|
SB130
|
Petition to Make Special Based on Age SB130 EFS-WEB Instructions [DOC] |
| Patent | PTO/SB/28
|
SB28
(only for use through EFS-Web on or after 8/25/06) |
Petition to Make Special Under Accelerated Examination Program |
| 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 | 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/20CZ | SB/20CZ EFS-Web | Request for Participation in the Patent Prosecution Highway (PPH) Pilot Program Between the Industrial Property Office of the Czech Republic (IPOCZ) 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/20NI | SB/20NI EFS-Web | Request for Participation in the Patent Prosecution Highway (PPH) Pilot Program Between the Nicaraguan Registry of Intellectual Property (NRIP) 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 |
