PTO/AIA/15 (10‐17)
Approved for use through 11/30/2017. 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 displays a valid OMB control number.
UTILITY
Attorney Docket No.
PATENT APPLICATION
First Named Inventor
TRANSMITTAL
Title
Priority Mail Express®
(Only for new nonprovisional applications under 37 CFR 1.53(b))
Label No.
Commissioner for Patents
APPLICATION ELEMENTS
ADDRESS TO:
P.O. Box 1450
See MPEP chapter 600 concerning utility patent application contents.
Alexandria, VA 22313‐1450
1.
Fee Transmittal Form
ACCOMPANYING APPLICATION PAPERS
(PTO/SB/17 or equivalent)
10.
Assignment Papers
2.
Applicant asserts small entity status.
(cover sheet & document(s))
See 37 CFR 1.27
Name of Assignee ___________________________
3.
Applicant certifies micro entity status.
See 37 CFR 1.29.
__________________________________________
Applicant must attach form PTO/SB/15A or B or equivalent.
4.
Specification
[Total Pages ____________]
11.
37 CFR 3.73(c) Statement
Power of Attorney
(when there is an assignee)
Both the claims and abstract must start on a new page.
(See MPEP § 608.01(a) for information on the preferred arrangement)
12.
English Translation Document
5.
Drawing(s) (35 U.S.C. 113)
[Total Sheets ____________]
(if applicable)
6. Inventor’s Oath or Declaration
[Total Pages ____________]
13.
Information Disclosure Statement
(PTO/SB/08 or PTO‐1449)
(including substitute statements under 37 CFR 1.64 and assignments
serving as an oath or declaration under 37 CFR 1.63(e))
Copies of citations attached
a.
Newly executed (original or copy)
14.
Preliminary Amendment
b.
A copy from a prior application (37 CFR 1.63(d))
15.
Return Receipt Postcard
7.
Application Data Sheet
* See note below.
(MPEP § 503) (Should be specifically itemized)
See 37 CFR 1.76 (PTO/AIA/14 or equivalent)
16.
Certified Copy of Priority Document(s)
8.
CD‐ROM or CD‐R
(if foreign priority is claimed)
in duplicate, large table, or Computer Program (Appendix)
17.
Nonpublication Request
Landscape Table on CD
Under 35 U.S.C. 122(b)(2)(B)(i). Applicant must attach form PTO/SB/35
or equivalent.
9. Nucleotide and/or Amino Acid Sequence Submission
18.
Other: _____________________________________________
(if applicable, items a. – c. are required)
_____________________________________________
a.
Computer Readable Form (CRF)
_____________________________________________
b.
Specification Sequence Listing on:
_____________________________________________
i.
CD‐ROM or CD‐R (2 copies); or
_____________________________________________
ii.
Paper
c.
Statements verifying identity of above copies
*Note: (1) Benefit claims under 37 CFR 1.78 and foreign priority claims under 1.55 must be included in an Application Data Sheet (ADS).
(2) For applications filed under 35 U.S.C. 111, the application must contain an ADS specifying the applicant if the applicant is an
assignee, person to whom the inventor is under an obligation to assign, or person who otherwise shows sufficient proprietary
interest in the matter. See 37 CFR 1.46(b).
19. CORRESPONDENCE ADDRESS
The address associated with Customer Number: __________________________________
OR
Correspondence address below
Name
Address
City
State
Zip Code
Country
Telephone
Email
Signature
Date
Name
Registration No.
(Print/Type)
(Attorney/Agent)
This collection of information is required by 37 CFR 1.53(b). 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: 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.