Form Pto/aia/50 - Reissue Patent Application Transmittal
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1
2 in
(If
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in duplicate, Computer
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CD‐ROM (2
ii.
If
PTO/AIA/50 (10‐17)
Approved for use through 01/31/2020. OMB 0651‐0033
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.
REISSUE
PATENT
APPLICATION
TRANSMITTAL
Address
to:
Attorney
Docket No.
First
Named
Inventor
Mail
Stop
Reissue
Commissioner
for
Patents
Original
Patent
Number
P.O.
Box
1450
Original
Patent
Issue Date
Alexandria,
VA
22313‐1450
(Month/Day/Year)
Priority Mail Express® Label No.
APPLICATION
FOR
REISSUE OF:
Utility
Patent
Design Patent
Plant
Patent
(Check
applicable
box)
APPLICATION
ELEMENTS
(37 CFR 1.173)
ACCOMPANYING
APPLICATION
PARTS
1.
Fee
Transmittal
Form
11.
Statement
of
status
and
support
for
all
changes
to the
(PTO/SB/56)
claims.
See
37 CFR 1.173(c).
2.
Applicant
asserts
small
entity status.
See
37 CFR
1.27
12.
Power
of
Attorney
3.
Applicant
certifies
micro
entity
status.
See
37
CFR
1.29.
Applicant
must
attach
form
PTO/SB/15A
or B
or equivalent.
13.
Information
Disclosure
Statement
(IDS)
PTOSB/08
or PTO‐1449
4.
Specification
and
Claims
double
column
copy of
patent
format
(amended, if
appropriate)
Copies
of
citations
attached
5.
Drawing(s)
(proposed
amendments, if
appropriate)
14.
English
translation
of
Reissue
Oath/Declaration
(if
applicable)
6.
Reissue
Oath/Declaration
or
Substitute
Statement
(37 CFR
1.175)
(PTO/AIA/05, 06,
or
07)
15.
Return
Receipt
Postcard (MPEP § 503)
(Should be
specifically
itemized)
7.
Application
Data
Sheet
NOTE:
Benefit
claims
under
37
CFR
1.78
and
foreign
priority
claims
under
37
CFR
1.55
MUST
be
set
forth in
an
16.
Preliminary Amendment
(37
CFR
1.173; MPEP §
1453)
Application
Data
Sheet
(ADS).
8.
Original
U.S.
Patent
currently
assigned?
Yes
No
17. Other: ____________________________________________
Yes,
check
applicable
box(es))
Written
Consent
of
all
Assigness (PTO/AIA/53)
37
CFR
3.73(c)
Statement (PTO/AIA/96)
9.
CD‐ROM or
CD‐R
Program
(Appendix)
or large
table
Landscape
Table on
CD
10. Nucleotide
and/or
Amino
Acid Sequence
Submission
(if
applicable, items a. – c.
are
required)
a.
Computer
Readable
Form
(CRF)
This is a continuation
reissue
or
divisional
reissue
application
b.
Specification Sequence
Listing
on:
(i.e., a second
or
subsequent reissue application
for
the
same
issued patent).
(Check
box if
applicable.)
i.
copies)
or
CD‐R (2 copies); or
Paper
c.
Statements verifying
identity of
above copies
18.
CORRESPONDENCE
ADDRESS
The
address
associated
with
Customer Number: __________________________________
OR
Correspondence
address
below
Name
Address
City
State
Zip Code
Country
Telephone
Email
Signature
Date
Name (Print/Type)
Registration No.
This
collection
of
information is
required
by
37
CFR
1.173.
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
12 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:
Mail
Stop
Reissue,
Commissioner
for
Patents,
P.O.
Box
1450,
Alexandria,
VA
22313‐1450.
you
need
assistance in
completing
the
form,
call
1‐800‐PTO‐9199
and
select
option 2.
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