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

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

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

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.

 

CARES Act Relief

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Statement of Delay Due to COVID-19 Outbreak04/2020SB/449

Application Data Sheet

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Application Data Sheet (37 CFR 1.76)

02/2018AIA/14

Certificate of Mailing/Transmission

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Certificate of Mailing or Transmission under 37 CFR 1.807/2016SB/92

Customer Number

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Request for Customer Number Data Change12/2008SB/124
Request for Customer Number11/2008SB/125

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Inventor's Oath or Declaration (Quick Reference Guide)

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Declaration (37 CFR 1.63) For Utility Or Design Application Using An Application Data Sheet (37 CFR 1.76) 06/2012AIA/01
Non-English language Translations of Declaration (37 CFR 1.63) For Utility Or Design Application Using An Application Data Sheet (37 CFR 1.76) 06/2012AIA/01 Translations
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) 06/2015AIA/02
Non-English language Translations of 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)07/2013AIA/02 Translations
Declaration (37 CFR 1.63) For Plant Application Using An Application Data Sheet (37 CFR 1.76) 06/2012AIA/03
Substitute Statement In Lieu Of An Oath Or Declaration For Plant Patent Application (35 U.S.C. 115(d) And 37 CFR 1.64)06/2015AIA/04
Reissue Application Declaration By The Inventor06/2012AIA/05
Reissue Application Declaration By The Assignee02/2017AIA/06
Substitute Statement In Lieu Of An Oath Or Declaration For Reissue Patent Application (35 U.S.C. 115(d) And 37 CFR 1.64)06/2015AIA/07
Declaration For Utility Or Design Patent Application (37 CFR 1.63) 11/2015AIA/08
Plant Patent Application (35 U.S.C. 161) Declaration (37 CFR 1.162)06/2012AIA/09
Supplemental Sheet For Declaration 06/2012AIA/10
Substitute Statement Supplemental Sheet 06/2012AIA/11

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Patent Electronic System Verification Form

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Patent Electronic System Verification Form

 01/2019PTO-2042a

Petitions

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Petition Fast-Track Appeals Pilot Program07/2020SB/451
Certification and Petition to Make Special under the Cancer Immunotherapy Pilot Program06/2016SB/443
Petition for Extension of Time Under 37 CFR 1.136(a)03/2013AIA/22
Petition for Extension of Time Under 37 CFR 1.136(b)07/2009SB/23
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.01/2018SB/64
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.07/2020SB/64a

Petition to Accept an Unintentionally Delayed Claim Under 35 U.S.C. 119(e) for the Benefit of a Prior-Filed Provisional Application (37 CFR 1.78(c))

05/2018SB/445

Petition to Accept Unintentionally Delayed Payment of Maintenance Fee in an Expired Patent (37 CFR 1.378(b)). Note: Effective Feb 1, 2018, this PDF-based EFS-Web Auto-Process option has been retired. Please use the Web-based ePetition option to secure filing with Auto-Processing. Alternatively, the standard SB/66 PDF (available directly below) may be used, but it will be processed by the Office of Petitions (no Auto-Processing).

02/2018SB/66 - EFS-Web has been retired
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.12/2018SB/66
Petition to Make Special Based on Age01/2019SB/130
Petition to Make Special Under Accelerated Examination Program. This form must be filed via EFS-Web.07/2009SB/28
Petition to Make Special Under the Expanded Collaborative Search Pilot Program07/2019SB/437
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.04/2013AIA/83

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Power of Attorney and Change of Correspondence Address

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Power Of Attorney To Prosecute Applications Before The USPTO 07/2017AIA/80
Power Of Attorney To One Or More Of The Joint Inventors And Change Of Correspondence Address 07/2012AIA/81
Patent – Power of Attorney or Revocation of Power of Attorney With a New Power of Attorney and Change of Correspondence Address 02/2015AIA/81A
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 Patent07/2013AIA/81B
Reexamination - Third Party Requester Power of Attorney of Revocation of Power of Attorney With a New Power of Attorney and Change of Correspondence Address12/2008SB/81C
Transmittal For Power of Attorney To One Or More Registered Practitioners/Power Of Attorney By Applicant 07/2013AIA/82
Non-English language Translations of Transmittal For Power of Attorney To One Or More Registered Practitioners/Power Of Attorney By Applicant07/2013AIA/82 Translations
Change of Correspondence Address Application06/2015AIA/122
Change of Correspondence Address Patent06/2015AIA/123

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Prioritized Examination

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Certification and Request for COVID-19 Prioritized Examination Pilot Program under 37 CFR 1.102(e)05/2020SB/450
Certification and Request for Prioritized Examination Under 37 CFR 1.102(e)04/2014AIA/424

Provisional Patent Application

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Provisional Application for Patent Cover Sheet - EFS-Web auto-load version (instructions [DOC]) This EFS-Web version of the SB/16 is the RECOMMENDED version02/2015SB/16 - EFS- Web
Provisional Application for Patent Cover Sheet10/2018SB/16

Reexamination

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Request for Ex Parte Reexamination Transmittal Form01/2018SB/57

Reissue Application (Reissue Application Filing Guide)

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Reissue Application: Consent of Assignee; Statement of Non-Assignment09/2012AIA/53

Request for Continued Examination (RCE)

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Request for Continued Examination (RCE) Transmittal (Submitted Only via EFS-Web) EFS-WEB SB30 instructions [DOC] This EFS-Web version of the SB/30 is the RECOMMENDED version

02/2018SB/30 EFS-WEB
Request for Continued Examination (RCE) Transmittal11/2017SB/30

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Statement Under 37 CFR 3.73(c)

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Statement Under 37 CFR 3.73(c) 08/2012AIA/96

Supplemental Examination

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Request For Supplemental Examination Transmittal Form 09/2016SB/59

Terminal Disclaimer (Note: A Terminal Disclaimer may alternatively be filed as a Web-based eTerminal Disclaimer over EFS-Web. Click Click here for more information.)

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For filing in a patent application:  
Terminal Disclaimer to Obviate a Provisional Double Patenting Rejection Over a Pending "Reference" Application04/2013AIA/25
Terminal Disclaimer to Obviate a Double Patenting Rejection Over a "Prior" Patent04/2014AIA/26
Terminal Disclaimer to Accompany Petition under 37 CFR 1.137 in a Design Application Filed on or after September 16, 201207/2016AIA/63
For filing in an issued patent:  
Terminal Disclaimer in a Patent or Proceeding in view of an Application02/2014SB/25a
Terminal Disclaimer in a Patent or Proceeding in view of Another Patent02/2014SB/26a

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Third-Party Submissions

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Third-Party Submission Under 37 CFR 1.290 (instructions)06/2015SB/429

Miscellaneous Forms

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Certificate of Correction09/2007SB/44
Power to Inspect/Copy - For Applications Filed on or after September 16, 201211/2015AIA/67
Request for Access to an Abandoned Application Under 37 CFR 1.1410/2014SB/68
Authorization or Rescission of Authorization to Permit Access to Search Results by the European Patent Office (EPO)11/2015SB/69
Request for a Transfer of a Computer Readable Form11/2014SB/93
Request for Recalculation of Patent Term Adjustment in view of Safe Harbor Statement Under 37 CFR 1.704(d)05/2018SB/134
Applicant Initiated Interview Request Form07/2016PTOL-413A
Authorization for Internet Communications in a Patent Application or Request to Withdraw Authorization for Internet Communications11/2015SB/439
Certification of Pro Bono Representation11/2018AIA/440
Recordation Form Cover Sheet (for Trademarks ONLY)04/2018PTO-1594
Complaint Regarding Invention Promoter 01/2012SB/2048A

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PATENT PROSECUTION HIGHWAY - 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 above 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 11.18(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

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.

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.