Doc Code: PD.TO.AUTH
Document Description: Auth or Resc of Auth to Access Appl by DAS/PDX Office
Approved for use through 11/30/2020. 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.
AUTHORIZATION OR RESCISSION OF AUTHORIZATION TO
PERMIT ACCESS TO APPLICATION-AS-FILED BY PARTICIPATING OFFICES
Send completed form to: Commissioner for Patents
P.O. Box 1450, Alexandria, VA 22313-1450
Application Number (if known):
First Named Inventor:
Attorney Docket Number:
Check either box 1 or 2 below, but not both:
By checking this box, the undersigned hereby grants the USPTO authority to provide the European
Patent Office (EPO), the Japan Patent Office (JPO), the Korean Intellectual Property Office (KIPO), the State
Intellectual Property Office of the People’s Republic of China (SIPO), the World Intellectual Property
Organization(WIPO), and any other foreign intellectual property office participating with the USPTO in a bilateral
or multilateral priority document exchange agreement in which a foreign application claiming priority to the instant
patent application is filed, access to: (1) the instant patent application-as-filed and its related bibliographic data,
(2) any foreign or domestic application to which priority or benefit is claimed by the instant application and its
related bibliographic data, and (3) the date of filing of this Authorization. See 37 CFR 1.14(h)(1).
By checking this box, the undersigned hereby rescinds the previous authority granted to the USPTO to
provide the EPO, JPO, KIPO, SIPO, WIPO or any other foreign intellectual property office participating with the
USPTO in a bilateral or multilateral priority document exchange agreement access to the documents and
information identified in paragraph 1 above.
This rescission of the previous authorization will not be effective unless and until an appropriate USPTO official
recognizes and acts on the rescission.
However, once the application has published or is otherwise publicly available, the USPTO may provide
access to the application in accordance with 37 CFR 1.14.
NOTE: This form must be signed by an authorized party in accordance with 37 CFR 1.14(c). Please see 37 CFR 1.4(d)
for the form of the signature. If necessary, submit multiple forms for more than one signature, see below.*
Name of Assignee
*Total of ______ forms are submitted.
This collection of information is required by 37 CFR 1.14(h). 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 6 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.