Forms for applications filed before September 16, 2012

This page contains patent forms for use in applications filed before September 16, 2012. Patent forms for use in applications filed on or after September 16, 2012 can be accessed here:

Patent Forms for Applications Filed On or After September 16, 2012

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.

 

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.

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.
Form Number
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PTO-2038PTO-203806/2021Credit Card Payment Form and Instructions
Patent Related Forms>> SORT FORMS BY TITLE
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PTO-2042a  Patent Electronic Verification Form (please click here)
PTO-2326PTO-23262022/05Request for Refund
PTOL-85BPTOL-85B2023/03Fee Transmittal (Part B) of the Notice of Allowance and Fee(s) Due form
PTO/SB/012019/04Declaration for Utility or Design Patent Application. To appoint an attorney or agent, use form PTO/SB/81
PTO/SB/01ASB01A2015/06Declaration (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
PTO/SB/022017/02Declaration (Additional Inventors) and Supplemental Priority Data Sheet [2 pages].
PTO/SB/02LRSB02LR2007/07Declaration (Supplemental sheets for Legal Representatives)
PTO/SB/02CNSB02CN
 
2007/07Declaration (Additional Inventors) and Supplemental Priority Data Sheet [2 pages]. (Chinese Language Declaration for Additional Inventors.)
PTO/SB/02DESB02DE
 
2007/07Declaration (Additional Inventors) and Supplemental Priority Data Sheet [2 pages]. (German Language Declaration for Additional Inventors.)
PTO/SB/02ESSB02ES
 
2007/07Declaration (Additional Inventors) and Supplemental Priority Data Sheet [2 pages]. (Spanish Language Declaration for Additional Inventors.)
PTO/SB/02FRSB02FR
 
2007/07Declaration (Additional Inventors) and Supplemental Priority Data Sheet [2 pages]. (French Language Declaration for Additional Inventors.)
PTO/SB/02ITSB02IT
 
2007/07Declaration (Additional Inventors) and Supplemental Priority Data Sheet [2 pages]. (Italian Language Declaration for Additional Inventors.)
PTO/SB/02JPSB02JP
 
2007/07Declaration (Additional Inventors) and Supplemental Priority Data Sheet [2 pages]. (Japanese Language Declaration for Additional Inventors.)
PTO/SB/02KRSB02KR
 
2007/07Declaration (Additional Inventors) and Supplemental Priority Data Sheet [2 pages]. (Korean Language Declaration for Additional Inventors.)
PTO/SB/02NLSB02NL
 
2007/07Declaration (Additional Inventors) and Supplemental Priority Data Sheet [2 pages]. (Dutch Language Declaration for Additional Inventors.)
PTO/SB/02RUSB02RU
 
2007/07Declaration (Additional Inventors) and Supplemental Priority Data Sheet [2 pages]. (Russian Language Declaration for Additional Inventors.)
PTO/SB/02SESB02SE
 
2007/07Declaration (Additional Inventors) and Supplemental Priority Data Sheet [2 pages]. (Swedish Language Declaration for Additional Inventors.)
PTO/SB/03SB03
 
2008/05Plant Patent Application (35 USC 161) Declaration (37 CFR 1.63) [2 pages]. To appoint an attorney or agent, use form PTO/SB/81
PTO/SB/03aSB03a2007/07Declaration (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
PTO/SB/04SB042008/05Supplemental Declaration for Utility or Design Patent Application (37 CFR 1.67)[2 pages]. To appoint an attorney or agent, use form PTO/SB/81

PTO/SB/06
(same as PTO-875)

SB062022/12Patent Application Fee Determination Record

PTO/SB/07
(same as PTO-1360)

SB/07

2007/07Multiple Dependent Claim Fee Calculation Sheet
PTO/SB/08
(same as PTO-1449)
SB08a EFS-WEB

This EFS-Web version of the SB/08 is the RECOMMENDED version

2022/01

Information Disclosure Statement by Applicant [2 pages]. Click Here for a listing of kind codes used on U.S. patent documents

SB08A EFS-WEB Instructions [DOC]

SB08a (pg 1)
SB08b (pg 2)
 
PTO/SB/09SB092016/12Certification and Request for Consideration of an Information Disclosure Statement Filed After Payment of the Issue Fee Under the QPIDS Pilot Program (for more information on the QPIDS pilot program, click here)
PTO/SB/15ASB15A2014/07

Certification of Micro Entity Status - Gross Income Basis (Gross Income Limit) (Who may sign the SB/15A and SB/15B?)

PTO/SB/15BSB15B2014/07

Certification of Micro Entity Status - Institution of Higher Education Basis (Who may sign the SB/15A and SB/15B?)

PTO/SB/17SB172022/12Fee Transmittal (for more information, click here)
PTO/SB/17iSB17i2022/12Processing Fee Under 37 CFR 1.17(i) Transmittal
PTO/SB/17pSB17p2022/12Petition Fee Under 37 CFR 1.17(f), (g) & (h) Transmittal
PTO/SB/21SB212009/07Transmittal Form
PTO/SB/22SB222022/12Petition for Extension of Time under 37 CFR 1.136(a)
PTO/SB/23SB232009/07Petition for Extension of Time under 37 CFR 1.136(b)
PTO/SB/24SB242009/01Express Abandonment Under 37 CFR 1.138
PTO/SB/24aSB24a2009/07Petition for Express Abandonment to Avoid Publication under 37 CFR 1.138(c)
PTO/SB/24bSB24b2009/07Petition for Express Abandonment to Obtain a Refund
PTO/SB/25SB252011/08Terminal Disclaimer to Obviate a Provisional Double Patenting Rejection over a Pending Second Application

A Terminal Disclaimer may alternatively be filed as a Web-based eTerminal Disclaimer over USPTO's patent electronic filing system. Click here for more information.

PTO/SB/25aSB25a2014/02Terminal Disclaimer in a Patent or Proceeding in view of an Application
PTO/SB/26SB262011/08Terminal Disclaimer to Obviate a Double Patenting Rejection over a Prior Patent
A Terminal Disclaimer may alternatively be filed as a Web-based eTerminal Disclaimer over USPTO's patent electronic filing system. Click here for more information.
PTO/SB/26aSB26a2014/02Terminal Disclaimer in a Patent or Proceeding in view of Another Patent
PTO/SB/31SB312022/12Notice of Appeal from the Examiner to the Patent Trial and Appeal Board
PTO/SB/32SB322022/12Request for Oral Hearing before the Patent Trial and Appeal Board
PTO/SB/33SB332017/06Pre-Appeal Brief Request for Review (For more information, click here)
PTO/AIA/34AIA342022/12Certification and Transmittal of Appeal Forwarding Fee (For more information, click here)
PTO/SB/35SB352009/07Nonpublication Request under 35 U.S.C. 122(b)(2)(B)(i)
PTO/SB/36SB362009/07Rescission 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))
PTO/SB/37SB372012/07Request for Deferral of Examination 37 CFR 1.103(d)
PTO/SB/38SB382014/10Request to Retrieve Electronic Priority Application(s) (for more information click here)
PTO/SB/39SB392015/11Authorization or Rescission of Authorization to Permit Access to Application-As-Filed by Participating Offices (for more information click here)
PTO/AIA/40

AIA40
 

2018/04Request for Correction in a Patent Application Relating to Inventorship or an Inventor Name, or Order of Names, Other than in a Reissue Application (37 CFR 1.48)
PTO/SB/42SB422009/0737 CFR 1.501 Information Disclosure Citation in a Patent
PTO/SB/43SB432023/06Disclaimer in Patent under 37 CFR 1.321(a)

PTO/SB/44
(same as PTO-1050)

SB44
 
2007/09Certificate of Correction
PTO/SB/45SB452022/05Maintenance Fee Transmittal Form.
PTO/SB/47SB472021/11"Fee Address" Indication Form
PTO/SB/51SB51
 
2012/09Reissue Application Declaration by the Inventor [2 pages]
PTO/SB/51SSB51S
 
2007/09Supplemental Declaration for Reissue Patent Application to Correct "Errors" Statement (37 CFR 1.175)
PTO/SB/52SB52
 
2012/09Reissue Application Declaration by the Assignee [2 pages]
PTO/SB/53SB532007/09Reissue Application: Consent of Assignee; Statement of Non-Assignment
PTO/SB/57SB572018/01Request for Ex Parte Reexamination Transmittal Form
PTO/SB/63SB632009/07Terminal Disclaimer to Accompany Petition
PTO/SB/64SB642021/10Petition for Revival of an Application for Patent Abandoned Unintentionally Under 37 CFR 1.137(a) [2 pages]
A Petition for Revival to accept late payment of issue fee may alternatively be filed as a Web-based ePetition. Click here for more information.
PTO/SB/64aSB64a2021/10Petition 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))
A Petition for Revival of an Application for Patent Abandoned for Failure to Notify the Office of a Foreign or Int'l Filing may alternatively be filed as a Web-based ePetition. Click here for more information.
PTO/SB/661
EFS-WEB PTO/SB/662
EFS-WEB SB662

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).

2018/1211Petition 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 (not auto-processed)
2RETIRED FEB 1, 2018
SB66 1
PTO/SB/67SB672015/11Power to Inspect/Copy
PTO/SB/68SB682014/10Request for Access to an Abandoned Application under 37 CFR 1.14
PTO/SB/69

SB69

2015/11Authorization or Rescission of Authorization to Permit Access To Search Results By The European Patent Office (EPO)
PTO/SB/80SB802008/11Power of Attorney to Prosecute Applications Before the USPTO (for more information click here)
PTO/SB/81SB81
 
2009/08Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address.
PTO/SB/81ASB81A
 
2008/12Patent - Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address.
PTO/SB/81BSB81B
 
2008/12Reexamination - Patent Owner Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address.
PTO/SB/81CSB81C
 
2008/12Reexamination - Third Party Requester Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address.
PTO/SB/82CNSB82CN
 
2009/07Power 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]
PTO/SB/82DESB82DE
 
2009/07Power 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]
PTO/SB/82ESSB82ES
 
2009/07Power 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]
PTO/SB/82FRSB82FR
 
2009/07Power 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]
PTO/SB/82ITSB82IT
 
2009/07Power 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]
PTO/SB/82JPSB82JP
 
2009/07Power 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]
PTO/SB/82KRSB82KR
 
2009/07Power 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]
PTO/SB/82NLSB82NL
 
2009/07Power 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]
PTO/SB/82RUSB82RU
 
2009/07Power 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]
PTO/SB/82SESB82SE
 
2009/07Power 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]
PTO/SB/83SB832013/04Request for Withdrawal As Attorney or Agent and Change of Correspondence Address
A Request for Withdrawal As Attorney or Agent may alternatively be filed as a Web-based ePetition. Click here for more information.
PTO/SB/84SB842008/11

Authorization to Act in a Representative Capacity (for more information click here)

PTO/SB/91SB912009/07Deposit Account Order Form
PTO/SB/92SB922022/05Certification of Mailing or Transmission under 37 CFR 1.8
PTO/SB/95 discontinued
2007/02
Disclosure Document Deposit Request - program discontinued 01FEB2007; see Provisional Patent Application
PTO/SB/96SB962018/11Statement Under 37 CFR 3.73(b)
PTO/SB/97SB97N/ADeleted as of 07/2016.  Please use PTO/SB/92 instead.
PTO/SB/101SB101
 
2016/05Declaration for Utility or Design Patent Application (37 CFR 1.63) (Chinese Language Declaration) [4 pages]
PTO/SB/102SB102
 
2016/05Declaration for Utility or Design Patent Application (37 CFR 1.63) (Dutch Language Declaration) [4 pages]
PTO/SB/103SB103
 
2016/05Declaration for Utility or Design Patent Application (37 CFR 1.63) (German Language Declaration) [4 pages]
PTO/SB/104SB104
 
2016/05Declaration for Utility or Design Patent Application (37 CFR 1.63) (Italian Language Declaration) [4 pages]
PTO/SB/105SB105
 
2016/05Declaration for Utility or Design Patent Application (37 CFR 1.63)(French Language Declaration) [4 pages]
PTO/SB/106SB106
 
2016/05Declaration for Utility or Design Patent Application (37 CFR 1.63) (Japanese Language Declaration) [4 pages]
PTO/SB/107SB107
 
2016/05Declaration for Utility or Design Patent Application (37 CFR 1.63) (Russian Language Declaration) [4 pages]
PTO/SB/108SB108
 
2016/05Declaration for Utility or Design Patent Application (37 CFR 1.63) (Swedish Language Declaration) [4 pages]
PTO/SB/109SB109
 
2016/05Declaration for Utility or Design Patent Application (37 CFR 1.63) (Spanish Language Declaration) [4 pages]
PTO/SB/110SB110
 
2016/05Declaration for Utility or Design Patent Application (37 CFR 1.63) (Korean Language Declaration) [4 pages]
PTO/SB/122SB1222015/06Change of Correspondence Address, Application
PTO/SB/123SB1232015/06Change of Correspondence Address, Patent
PTO/SB/123ASB123A2009/02Patent Owner Change of Correspondence Address - Reexamination Proceeding
PTO/SB/123BSB123B2009/02Third Party Requester Change of Correspondence Address - Reexamination Proceeding
PTO/SB/124

SB124

2008/12Request for Customer Number Data Change
PTO/SB/125SB1252008/11Request for Customer Number
PTO/SB/130

Recommended:  Web-Based ePetition Alternative: Fillable PDF

2019/01

Petition to Make Special based on Age

PTO/SB/133SB/1332023/02Patent Term Adjustment Statement Under 37 CFR 1.704(d)
PTOL-413A

PTOL-413A

2016/07Applicant Initiated Interview Request Form. This form is to implement a policy change regarding interview summaries. See MPEP 713.04 Link to MPEP.
PTO/SB/424SB4242011/12Certification and Request for Prioritized Examination Under 37 CFR 1.102(e)
PTO/SB/429SB4292021/11Third-Party Submission Under 37 CFR 1.290 (instructions)
PTO/SB/434SB434
 
2022/03Certification and Request for Consideration Under the After Final Consideration Pilot Program 2.0
PTO/SB/439SB4392015/11Authorization for Internet Communications in a Patent Application or Request to Withdraw Authorization for Internet Communications
PTO/SB/445SB4452022/09Petition 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))
PTO-875  

See PTO/SB/06

PTO/SB/1209SB1209
 
2021/02Oath or Declaration
PTO-1360  See PTO/SB/07
PTO-1449  See PTO/SB/08
PTO/SB/2048APTO/SB/2048A2017/08Complaint Regarding Invention Promoter
Patent Cooperation Treaty Related Forms>> Access to more Patent Cooperation Treaty (PCT) forms on PCT site
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& templates
PTO/SB/64pctSB64pct
 
2020/12Petition for Revival of an International Application for Patent Designating the U.S. Abandoned Unintentionally under 37 CFR 1.137(a) [2 pages]