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.

NOTES:

  1. For best results, right-click on the link to the form and select “Save link as” or equivalent. Then use Adobe Reader to open the form.
  2. Examples of proper signatures can be found here.
  3. 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.
  4. To report a problem with a fillable patent form, please email ebc@uspto.gov.
 

CARES Act Relief

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Certification and Request to Suspend the Requirement in 37 CFR 1.55(f) and (g) for Submission of the Certified Copy Due to the COVID-19 Outbreak 01/2021 SB/453

Application Data Sheet

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Application Data Sheet (37 CFR 1.76)

01/2022 AIA/14

Certificate of Mailing/Transmission

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Certificate of Mailing or Transmission under 37 CFR 1.8 05/2022 SB/92

Customer Number

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Request for Customer Number Data Change 12/2008 SB/124
Request for Customer Number 11/2008 SB/125

Express Abandonment

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Express Abandonment Under 37 CFR 1.138 05/2022 AIA/24
Petition for Express Abandonment to Avoid Publication under 37 CFR 1.138(c) 05/2022 AIA/24A
Petition for Express Abandonment to Obtain a Refund 05/2022 AIA/24B

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) 06/2012 AIA/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)  06/2012 AIA/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) 06/2015 AIA/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) 07/2013 AIA/02 Translations
Declaration (37 CFR 1.63) For Plant Application Using An Application Data Sheet (37 CFR 1.76) 09/2022 AIA/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) 06/2015 AIA/04
Reissue Application Declaration By The Inventor 06/2012 AIA/05
Reissue Application Declaration By The Assignee 09/2020 AIA/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) 06/2015 AIA/07
Declaration For Utility Or Design Patent Application (37 CFR 1.63) 11/2015 AIA/08
Plant Patent Application (35 U.S.C. 161) Declaration (37 CFR 1.162) 06/2012 AIA/09
Supplemental Sheet For Declaration 06/2012 AIA/10
Substitute Statement Supplemental Sheet 06/2012 AIA/11

Patent Electronic System Verification Form

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Patent Electronic System Verification Form

 01/2019 PTO-2042a

Petitions

 

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Petition Fast-Track for COVID-19-Related Appeals Pilot Program 04/2021 SB/454
Petition Fast-Track Appeals Pilot Program 07/2020 SB/451
Certification and Petition for the First-Time Filer Expedited Examination Pilot Program 03/2023 SB/464
Certification and Petition to Make Special under the Cancer Moonshot Expedited Examination Pilot Program 02/2023 SB/465
Petition for Extension of Time Under 37 CFR 1.136(a) 12/2022 AIA/22
Petition for Extension of Time Under 37 CFR 1.136(b) 07/2009 SB/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. 10/2021 SB/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. 10/2021 SB/64a

Petition to Accept an Unintentionally Delayed Claim under 35 U.S.C. 119(e) (37 CFR 1.78(c)) and/or to Accept an Unintentionally Delayed Claim under 35 U.S.C. 120, 121, 365(c), or 386(c) (37 CFR 1.78(e)) for the Benefit of a Prior-Filed Application

09/2022 SB/445

Petition to Accept an Unintentionally Delayed Claim under 35 U.S.C. 119(a)-(d) or (f), 365(a) or (b), or 386(a) or (b) for the Right of Priority to a Prior-Filed Foreign Application (37 CFR 1.55(e))

09/2022 SB/458

Petition to Restore the Benefit of a Provisional Application (37 CFR 1.78(b)) or to Restore the Priority to a Foreign Application (37 CFR 1.55(c))

09/2022 SB/459

Petition to Accept Unintentionally Delayed Payment of Maintenance Fee in an Expired Patent (37 CFR 1.378(b))

11/2021 SB/66
Petition to Make Special Based on Age for Advancement of Examination under 37 CFR 1.102(c)(1) 01/2019 SB/130
Petition to Make Special Under Accelerated Examination Program. This form must be filed via EFS-Web. 01/2022 SB/28
Petitions to Make Special Under the Expanded Collaborative Search Pilot Program

07/2019


01/2023


01/2023


SB/437


PTO/437-JP


PTO/437-KR
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. 04/2013 AIA/83

Power of Attorney and Change of Correspondence Address

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Power Of Attorney To Prosecute Applications Before The USPTO 07/2017 AIA/80
Power Of Attorney To One Or More Of The Joint Inventors And Change Of Correspondence Address 07/2012 AIA/81
Patent – Power of Attorney or Revocation of Power of Attorney With a New Power of Attorney and Change of Correspondence Address 02/2015 AIA/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 Patent 07/2013 AIA/81B
Reexamination - Third Party Requester Power of Attorney of Revocation of Power of Attorney With a New Power of Attorney and Change of Correspondence Address 12/2008 SB/81C
Transmittal For Power of Attorney To One Or More Registered Practitioners/Power Of Attorney By Applicant 07/2013 AIA/82
Non-English language Translations of Transmittal For Power of Attorney To One Or More Registered Practitioners/Power Of Attorney By Applicant 07/2013 AIA/82 Translations
Change of Correspondence Address Application 05/2023 AIA/122
Change of Correspondence Address Patent 06/2015 AIA/123

Prioritized Examination

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Certification and Request for Prioritized Examination Under 37 CFR 1.102(e) 04/2014 AIA/424

Priority Document Exchange

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Request to Retrieve Electronic Priority Application(s)   (for more information click here) 02/2023 SB/38
Authorization or Rescission of Authorization to Permit Access to Application-As-Filed by Participating Offices (for more information click here) 11/2015 SB/39

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 version 02/2022 SB/16 - EFS- Web
Provisional Application for Patent Cover Sheet 12/2022 SB/16

Reexamination

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Request for Ex Parte Reexamination Transmittal Form 01/2018 SB/57

Reissue Application (Reissue Application Filing Guide)

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Reissue Application: Consent of Assignee; Statement of Non-Assignment 09/2012 AIA/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

01/2022 SB/30 EFS-WEB
Request for Continued Examination (RCE) Transmittal 11/2017 SB/30

Statement Under 37 CFR 3.73(c)

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

Supplemental Examination

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Request For Supplemental Examination Transmittal Form 09/2016 SB/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" Application 04/2013 AIA/25
Terminal Disclaimer to Obviate a Double Patenting Rejection Over a "Prior" Patent 04/2014 AIA/26
Terminal Disclaimer to Accompany Petition under 37 CFR 1.137 in a Design Application Filed on or after September 16, 2012 07/2016 AIA/63
For filing in an issued patent:    
Terminal Disclaimer in a Patent or Proceeding in view of an Application 02/2014 SB/25a
Terminal Disclaimer in a Patent or Proceeding in view of Another Patent 02/2014 SB/26a

Third-Party Submissions

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Third-Party Submission Under 37 CFR 1.290 (instructions) 11/2021 SB/429

Transmittals and Cover Sheets

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Utility Patent Application Transmittal 10/2017 AIA/15

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

01/2022 SB/16 - EFS-Web
Provisional Application for Patent Cover Sheet 12/2022 SB/16
Design Patent Application Transmittal 10/2017 AIA/18
Plant Patent Application Transmittal 10/2017 AIA/19
Transmittal Form 07/2009 SB/21
For Design Applications Only: Continued Prosecution Application (CPA) Request Transmittal 11/2017 SB/29
Reissue Patent Application Transmittal 10/2017 AIA/50
Recordation Form Cover Sheet - Patents Only 06/2012 PTO-1595

Miscellaneous Forms

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Request for Deferral of Examination 37 CFR 1.103(d) 07/2012 SB/37
Certificate of Correction 09/2007 SB/44
Power to Inspect/Copy - For Applications Filed on or after September 16, 2012 11/2015 AIA/67
Request for Access to an Abandoned Application Under 37 CFR 1.14 10/2014 SB/68
Authorization or Rescission of Authorization to Permit Access to Search Results by the European Patent Office (EPO) 11/2015 SB/69
Request for Recalculation of Patent Term Adjustment in view of Safe Harbor Statement Under 37 CFR 1.704(d) 05/2018 SB/134
Applicant Initiated Interview Request Form 07/2016 PTOL-413A
Authorization for Internet Communications in a Patent Application or Request to Withdraw Authorization for Internet Communications 11/2015 SB/439
Certification of Pro Bono Representation 11/2018 AIA/440
Recordation Form Cover Sheet (for Trademarks ONLY) 04/2018 PTO-1594
Complaint Regarding Invention Promoter 01/2012 SB/2048A

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).

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.