Form Ptol-413a - Applicant Initiated Interview Request Page 2

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Doc Code: M865 or FAI.REQ.INTV
PTOL-413A (08-10)
Approved for use through 08/31/2016. OMB 0651-0031
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.
Instruction Sheet for:
APPLICANT INITIATED INTERVIEW REQUEST FORM
(Not to be Submitted to the USPTO)
1. If this form is signed by a registered practitioner not of record, the authority to
submit the Applicant Initiated Interview Request Form is pursuant to limited
authority to act in a representative capacity under 37 CFR 1.34 and further
proof of authority to act in a representative capacity may be
required. See 37 CFR 1.34.
The Office will accept the signed form as an indication that the registered
practitioner not of record is authorized to conduct an interview on behalf of the
principal in pursuant to 37 CFR 1.34.
For more information, see the “Conducting an Interview with a Registered
Practitioner Acting in a Representative Capacity” notice which is available on
the USPTO Web site at:
2. This is not a power of attorney to any named practitioner. Accordingly, any
registered practitioner not of record named on the form does not have
authority to sign a request to change the correspondence address, a request
for express abandonment, a disclaimer, a power of attorney, or other
document requiring the signature of the applicant, assignee of the entire
interest or an attorney of record. If appropriate, a separate power of attorney
to the named practitioner should be executed and filed in the US Patent and
Trademark Office.
3. Any interview concerning an unpublished application under 35 U.S.C. § 122(b)
with a registered practitioner not of record who obtains authorization through
use of the PTOL-413A will be conducted based on the information and files
supplied by the practitioner in view of the confidentiality requirements of
35 U.S.C. § 122(a).

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