Utility Patent Application Transmittal Form. This is a Official Federal Forms form and can be use in Patent US Patent Office.
Tags: Utility Patent Application Transmittal, PTO-AIA-15, Official Federal Forms US Patent Office, Patent
PTO/AIA/15 (03 13) 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 UTILITY PATENT APPLICATION TRANSMITTAL (Only for new nonprovisional applications under 37 CFR 1.53(b)) Attorney Docket No. First Named Inventor Title Express Mail Label No. APPLICATION ELEMENTS See MPEP chapter 600 concerning utility patent application contents. ADDRESS TO: Commissioner for Patents P.O. Box 1450 Alexandria, VA 22313 1450 1. 2. 3. 4. Fee Transmittal Form (PTO/SB/17 or equivalent) ACCOMPANYING APPLICATION PAPERS 10. Assignment Papers (cover sheet & document(s)) Name of Assignee ___________________________ __________________________________________ 11. 12. 13. 37 CFR 3.73(c) Statement (when there is an assignee) Applicant asserts small entity status. See 37 CFR 1.27 Applicant certifies micro entity status. See 37 CFR 1.29. Applicant must attach form PTO/SB/15A or B or equivalent. Specification [Total Pages ____________] Power of Attorney Both the claims and abstract must start on a new page. (See MPEP § 608.01(a) for information on the preferred arrangement) English Translation Document (if applicable) 5. Drawing(s) (35 U.S.C. 113) [Total Sheets ____________] [Total Pages ____________] 6. Inventor's Oath or Declaration Information Disclosure Statement (PTO/SB/08 or PTO 1449) (including substitute statements under 37 CFR 1.64 and assignments serving as an oath or declaration under 37 CFR 1.63(e)) Copies of citations attached 14. 15. 16. 17. Preliminary Amendment Return Receipt Postcard (MPEP § 503) (Should be specifically itemized) a. b. 7. 8. Newly executed (original or copy) A copy from a prior application (37 CFR 1.63(d)) * See note below. See 37 CFR 1.76 (PTO/AIA/14 or equivalent) Application Data Sheet Certified Copy of Priority Document(s) (if foreign priority is claimed) CD ROM or CD R in duplicate, large table, or Computer Program (Appendix) Nonpublication Request Under 35 U.S.C. 122(b)(2)(B)(i). Applicant must attach form PTO/SB/35 or equivalent. Landscape Table on CD 9. Nucleotide and/or Amino Acid Sequence Submission (if applicable, items a. c. are required) a. b. i. ii. c. Computer Readable Form (CRF) Specification Sequence Listing on: CD ROM or CD R (2 copies); or Paper Statements verifying identity of above copies 18. Other: _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ *Note: (1) Benefit claims under 37 CFR 1.78 and foreign priority claims under 1.55 must be included in an Application Data Sheet (ADS). (2) For applications filed under 35 U.S.C. 111, the application must contain an ADS specifying the applicant if the applicant is an assignee, person to whom the inventor is under an obligation to assign, or person who otherwise shows sufficient proprietary interest in the matter. See 37 CFR 1.46(b). 19. CORRESPONDENCE ADDRESS The address associated with Customer Number: __________________________________ Name Address City Country Signature Name (Print/Type) State Telephone Date Registration No. (Attorney/Agent) Zip Code Email OR Correspondence address below 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 Privacy Act Statement The Privacy Act of 1974 (P.L. 93-579) requires that you be given certain information in connection with your submission of the attached form related to a patent application or patent. Accordingly, pursuant to the requirements of the Act, please be advised that: (1) the general authority for the collection of this information is 35 U.S.C. 2(b)(2); (2) furnishing of the information solicited is voluntary; and (3) the principal purpose for which the information is used by the U.S. Patent and Trademark Office is to process and/or examine your submission related to a patent application or patent. If you do not furnish the requested information, the U.S. Patent and Trademark Office may not be able to process and/or examine your submission, which may result in termination of proceedings or abandonment of the application or expiration of the patent. The information provided by you in this form will be subject to the following routine uses: 1. The information on this form will be treated confidentially to the extent allowed under the Freedom of Information Act (5 U.S.C. 552) and the Privacy Act (5 U.S.C 552a). Records from this system of records may be disclosed to the Department of Justice to determine whether disclosure of these records is required by the Freedom of Information Act. A record from this system of records may be disclosed, as a routine use, in the course of presenting evidence to a court, magistrate, or administrative tribunal, including disclosures to opposing counsel in the course of settlement negotiations. A record in this system of records may be disclosed, as a routine use, to a Member of Congress submitting a request involving an individual, to whom the record pertains, when the individual has requested assistance from the Member with respect to the subject matter of the record. A record in this system of records may be disclosed, as a routine use, to a contractor of the Agency having need for the information in order to perform a contract. Recipients of information shall be required to comply with the requirements