Form Pto/sb/59 - Request For Supplemental Examination Transmittal

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PTO/SB/59 (09-16)

Approved for use through 09/30/2018. OMB 0651-0064

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.

REQUEST FOR SUPPLEMENTAL EXAMINATION TRANSMITTAL FORM

Address to:

Commissioner for Patents

Attorney Docket No.:

P.O. Box 1450

Alexandria, VA 22313-1450

Date:

This is a request for supplemental examination pursuant to 37 CFR 1.610 of patent number _________________

issued ________________________. 37 CFR 1.610(b)(1).

Supplemental examination of claim(s) _______________________________________________is requested.

37 CFR 1.610(b)(4).

a. The name(s) of the patent owner(s) (not the patent practitioner(s)) is (are):

_______________________________________________________________________________________

b. A submission by the patent owner(s) in compliance with 37 CFR 3.73(c), which establishes that the patent

owner(s) has (have) the entirety of the ownership in the patent for which supplemental examination is

requested, is included. 37 CFR 1.610(b)(9).

a. A check in the amount of $____________ is enclosed to cover the fee for processing and treating a

request for supplemental examination, the fee for reexamination ordered under 35 USC 257, and the fee for

processing and treating each non-patent document over 20 sheets in length (37 CFR 1.20(k)(1 - 3));

b. The Director is hereby authorized to charge all applicable fees as set forth in 37 CFR 1.20(k)(1 - 3)

to Deposit Account No. ________________________; or

c. Payment by credit card. Form PTO-2038 is attached. 37 CFR 1.610(a).

Any refund should be made by

check or

credit to Deposit Account No.__________________.

37 CFR 1.26(c). If payment is made by credit card, refund must be to the credit card account.

A copy of the patent for which supplemental examination is requested, and a copy of any disclaimer or

certificate issued for the patent are included. 37 CFR 1.610(b)(6).

CD-ROM or CD-R in duplicate, Computer Program (Appendix) or large table

Landscape Table on CD

Nucleotide and/or Amino Acid Sequence Submission

If applicable, items a. – c. are required.

Computer Readable Form (CRF)

b. Specification Sequence Listing on:

CD-ROM (2 copies) or CD-R (2 copies); or

ii.

paper

Statements verifying the identity of above copies

A list of no more than 12 items of information submitted as part of this request is provided in Part B of this form.

Where appropriate, the list must meet the requirements of 37 CFR 1.98(b). 37 CFR 1.605(a), 1.610(b)(2).

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This collection of information is required by 37 CFR 1.610. 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 0.3 hours 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.