Fillable Form Ptol-413a - Applicant Initiated Interview Request printable pdf download

PTOL-413A (07-16)

Doc Code: M865 or FAI.REQ.INTV

Approved for use through 08/31/2016. OMB 0651-0031

U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE

Applicant Initiated Interview Request Form

Application No.:_________________

First Named Applicant:____________________________________

Examiner:______________________

Art Unit:__________

Status of Application:__________________

Tentative Participants:

(1)_____________________________ (2)_______________________________

(3)_____________________________ (4)_______________________________

Proposed Date of Interview:_____________________

Proposed Time:__________ ( AM PM)

Type of Interview Requested:

(1) [ ] Telephonic

(2) [ ] Personal

(3) [ ] Video Conference

Exhibit To Be Shown or Demonstrated: [ ] YES

[ ] NO

If yes, provide brief description:________________________________________________

Issues To Be Discussed

Issues

Claims/

Prior

Discussed

Agreed

Not Agreed

(Rej., Obj., etc)

Fig. #s

Art

(1)__________

________

______________

[ ]

(2)__________

________

______________

[ ]

(3)__________

________

______________

[ ]

(4)__________

________

______________

[ ]

[ ] Continuation Sheet Attached

[ ] Proposed Amendment or Arguments Attached

Brief Description of Arguments to be Presented: ___________________________________________

______________________________________________________________________________

An interview was conducted on the above-identified application on ____________________________

NOTE: This form should be completed and filed by applicant in advance of the interview (see MPEP § 713.01). If

this form is signed by a registered practitioner not of record, the Office will accept this as an indication that he or

she is authorized to conduct an interview on behalf of the principal (37 CFR 1.32(a)(3)) pursuant to 37 CFR 1.34.

This is not a power of attorney to any above named practitioner. See the Instruction Sheet for this form, which is

incorporated by reference. By signing this form, applicant or practitioner is certifying that he or she has read the

Instruction Sheet. After the interview is conducted, applicant is advised to file a statement of the substance of this

interview (37 CFR 1.133(b)) as soon as possible. This application will not be delayed from issue because of

applicant’s failure to submit a written record of this interview.

Applicant/Applicant’s Representative Signature

Examiner/SPE Signature

Typed/Printed Name of Applicant or Representative

Applicant's/Applicant's Representative's Telephone Number

Registration Number, if applicable

This collection of information is required by 37 CFR 1.133. 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 24 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.

If you need assistance in completing the form, call 1-800-PTO-9199 and select option 2.