PTO/AIA/15 (07-12) Approved for use through 01/31/2014. OMB 0651-0032 U.S. Patent and Trademark Office. U.S. DEPARTMENT OF COMMERCE Under the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. Attorney Docket No. UTILITY PATENT APPLICATION TRANSMITTAL First Inventor Title (Only for new nonprovisional applications under 37 CFR 1.53(b)) APPLICATION ELEMENTS See MPEP chapter 600 concerning utility patent application contents. 1. Express Mail Label No. Fee Transmittal Form. ACCOMPANYING APPLICATION PARTS (PTO/SB/17 or equivalent) 2. Applicant claims small entity status. 9. See 37 CFR 1.27. 3. Name of Assignee_______________________________ Both the claims and abstract must start on a new page (For information on the preferred arrangement, see MPEP § 608.01(a)) Drawing(s). (35 U.S.C. 113) 5. Inventor's Oath or Declaration. ______________________________________________ [Total Sheets __________ ] [Total Sheets __________ ] 10. (including substitute statements under 37 CFR 1.64 and assignments serving as an oath or declaration under 37 CFR 1.63(e)) a. b. Newly executed (original or copy) A copy from a prior application (37 CFR 1.63(d)) 6. Application Data Sheet. Assignment Papers. (cover sheet & document(s)) [Total Pages___________ ] Specification. 4. Commissioner for Patents P.O. Box 1450 Alexandria VA 22313-1450 ADDRESS TO: 37 CFR 3.73(c) Statement. Power of Attorney. (when there is an assignee) 11. English Translation Document. 12. Information Disclosure Statement. (if applicable) *See Note below. See 37 CFR 1.76 (PTO/AIA/14 or equivalent) (PTO/SB/08 or PTO-1449) Copies of citations attached 7 . CD-ROM or CD-R. 13. Preliminary Amendment. in duplicate, large table or Computer Program (Appendix) 1 4 . 15. (MPEP § 503) (Should be specifically itemized) Landscape Table on CD 8. Nucleotide and/or Amino Acid Sequence Submission. (if applicable, items a. – c. are required) a. Computer Readable Form (CRF) b. Specification Sequence Listing on: i. ii. c. Return Receipt Postcard. Certified Copy of Priority Document(s). (if foreign priority is claimed) 16. Nonpublication Request. Under 35 U.S.C. 122(b)(2)(B)(i). Applicant must attach form PTO/SB/35 or equivalent. CD-ROM or CD-R (2 copies); or Paper 17. Statements verifying identity of above copies Other:_________________________________________ _______________________________________________ 19. CORRESPONDENCE ADDRESS OR The address associated with Customer Number: Correspondence address below Name Address City Country Signature Name (Print/Type) State Zip Code Email Telephone Date Registration No. (Attorney/Agent) This collection of information is required by 37 CFR 1.53(b). The information is required to obtain or retain a benefit by the public which is to file (and by the USPTO to process) an application. Confidentiality is governed by 35 U.S.C. 122 and 37 CFR 1.11 and 1.14. This collection is estimated to take 12 minutes to complete, including gathering, preparing, and submitting the completed application form to the USPTO. Time will vary depending upon the individual case. Any comments on the amount of time you require to complete this form and/or suggestions for reducing this burden, should be sent to the Chief Information Officer, U.S. Patent and Trademark Office, U.S. Department of Commerce, P.O. Box 1450, Alexandria, VA 22313-1450. DO NOT SEND FEES OR COMPLETED FORMS TO THIS ADDRESS. SEND TO: Commissioner for Patents, P.O. Box 1450, Alexandria, VA 22313-1450. If you need assistance in completing the form, call 1-800-PTO-9199 and select option 2. American LegalNet, Inc. www.FormsWorkFlow.com