Form Pto/aia/08 - Declaration For Utility Or Design Patent Application - 2015 Page 2
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3PTO/AIA/08 (11-15)
Approved for use through 4/30/2017. 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 contains a valid OMB control number.
DECLARATION — Utility or Design Patent Application
WARNING:
Petitioner/applicant is cautioned to avoid submitting personal information in documents filed in a patent application that may
contribute to identity theft. Personal information such as social security numbers, bank account numbers, or credit card numbers
(other than a check or credit card authorization form PTO-2038 submitted for payment purposes) is never required by the USPTO
to support a petition or an application. If this type of personal information is included in documents submitted to the USPTO,
petitioners/applicants should consider redacting such personal information from the documents before submitting them to the
USPTO. Petitioner/applicant is advised that the record of a patent application is available to the public after publication of the
application (unless a non-publication request in compliance with 37 CFR 1.213(a) is made in the application) or issuance of a
patent. Furthermore, the record from an abandoned application may also be available to the public if the application is referenced
in a published application or an issued patent (see 37 CFR 1.14). Checks and credit card authorization forms
PTO-2038 submitted for payment purposes are not retained in the application file and therefore are not publicly available.
Petitioner/applicant is advised that documents which form the record of a patent application (such as the PTO/SB/01) are placed
into the Privacy Act system of records DEPARTMENT OF COMMERCE, COMMERCE-PAT-7, System name: Patent Application
Files . Documents not retained in an application file (such as the PTO-2038) are placed into the Privacy Act system of
COMMERCE/PAT-TM-10, System name: Deposit Accounts and Electronic Funds Transfer Profiles.
LEGAL NAME OF SOLE OR FIRST INVENTOR:
(E.g., Given Name (first and middle if any) and Family Name or Surname)
Inventor's Signature
Date (Optional)
Residence: City
State
Country
Mailing Address
City
State
Country
Zip
Additional inventors are being named on the
Supplemental sheet(s) PTO/AIA/10 attached hereto
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