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Request For Supplemental Examination Transmittal Form PTO-SB-59 - Official Federal Forms
| Request For Supplemental Examination Transmittal Form Form. This is a national form and can be used in Patent US Patent Office . |
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PTO/SB/59 (07-12) 9 Approved for use through 07/31/2015. OMB 0651-0064 7 n R M U.S. Paten t and Trademark Office; U.S. DEPARTMENT OF COMMERCE Under the Paperwork Reduction Act of 1995, no persons are required to respond to a collectio n of information u nless it displays a valid OMB control number. o s o REQUEST FOR SUPPLEMENTAL EXAMINATION TRANSMITTAL FORM U N A N M R Address to: e Commissioner for Patents m P.O. Box 1450 Alexandria, VA 22313-1450 a 1. Attorney Do cket No.: o Date: This is a request for supplemental examination pursuant to 37 C FR 1.610 of patent number _________________ u a _ d _ _ issued ________________________. 37 CFR 1.610(b)(1). Supplemental examination of claim(s) _____________________ ___________ _______________is requested. e m _ _ _ _ 37 CFR 1.610(b)(4). F a. The name(s) of the patent owner(s) (not the patent practitione r(s)) is (are): e e r a e _____ _____________ ____________ _____________ ____________ ____________ _____________ ____________ ___ _____ _____________ ____________ _____________ _____________ ____________ _____________ ____________ ___ _____ _____________ ____________ _____________ _____________ ____________ _____________ ____________ ___ ______ ____________ _____________ ____________ ____________ _____________ ____________ _____________ __ b. A submission by the patent owner(s) in compliance with 37 C FR 3.73(c), wh ich establishes that the patent a h e e owner(s) has (have) the entirety of the ownership in the paten t for which supplemental examination is n v h n p a u u requested, is included. 37 CFR 1.610(b)(9). 2. 3. 4. a. A check in the amount of $____________ is enclosed to cov er the fee for processing and treating a m _ v d request for supplemental examination, the fee for reexamina tion ordered u q e a under 35 USC 257, and the fee for e o o u t 2 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 fee s as set forth in 37 CFR 1.20(k)(1 - 3) e e e 0 to Deposit Account No. ________________________; or _ _ c. Payment by credit card. Form PTO-2038 is attached. 37 CF R 1.610(a). y i t F 5. Any refund should be made by check or credit to D eposit Account No.__________________. t _ a a e u 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 req p t m quested, and a copy of any disclaimer or s i r e ( 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 R n o a Landscape Table on CD Nucleotide and/or Amino Acid Sequence Submission e q s If applicable, items a. c. are required. p a. Computer Readable Form (CRF) e b. Specification Sequence Listing on: q i. ii. c. CD-ROM (2 copies) or CD-R (2 copies); or O p paper r 6. 7. 8. Statements verifying the identity of above copies e 9. A list of no more than 12 items of information submitted as part of this request is provided in Part B of this form. a b t n Where appropriate, the list must meet the requirements of 37 C FR 1.98(b). 37 CFR 1.605(a), 1.610(b)(2). r e a . [Page 1 of 2] 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 o h e r y h process) an application. Confidentiality is governed by 35 U.S.C. 122 and 37 CFR 1.11 and 1.14. This collection is e stimated to take 0.3 hours to complete, including S F e gathering, preparing, and submitting the completed application form to the USPTO. Time will vary depending upon th e individual case. Any comments on the amount m n T h n 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 e o s e f e d 5 D P S Office, U.S. Department of Commerce, P.O. Box 1450, Alexandria, VA 22313-1450. DO NOT SEND FEES OR COMP LETED FORMS TO THIS ADDRESS. American LegalNet, Inc. www.FormsWorkFlow.com Patent No. PTO/SB/59 (0712) 2 Approved for use through 07/31/2015. OMB 0651-0064 e 1 U.S. Patent and T rademark Office; U.S. DEPARTMENT OF COMMERCE N Under the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of in formation unless it displays a valid OMB control number. d , e n t 10. A legible copy of each ite of information listed in Pa B of this form and an Engllish language t c em art m, translation of all necessary and pertin nent parts of ea non-English language item of informatio are included ach h m on d. Copies of items of inform mation that form part of the dis m scussion within the body of th request (see 37 CFR 1.605(b)), and n he e copies of U.S. patents and patent application publicat tions, are not r required. 37 CF 1.610(b)(7). FR . 11. ry ant e nt hat pages in length (other than the request) is e A summar of the releva portions of each non-paten document th is over 50 p included. The summary includes the re y equired citation to the partic ns cular pages con ntaining the rele evant portions. 37 CFR . 1.610(b)(8 8). A separat detailed exp te, planation of the relevance and manner of ap e d pplying each ite of information to each clai of the em im 10(b)(5). patent for which supplem mental examina ation is request ted, is included 37 CFR 1.61 d. w a current post-pa atent Office pro oceedings (ex p parte or inter pa artes reexamin nation, reissue, The below list includes all prior or conc supplemen examination, post grant re ntal eview, or inter partes review) involving the p p patent for which supplementa examination h al is being req quested. 37 CFR 1.610(b)(3) An identifyin number may be, e.g., a control no. or reis C ). ng y ssue applicatio no. Any on prior or con ncurrent post-p patent Office pr roceedings not listed below ar listed on a s separate paper accompanying the request. r g re Type of Pr roceeding Identifying Number N Filing D Date 12. 13. ____________ ____________ _____________ ____________ ____________ _____________ ____________ _____________ __ ____________ ____________ _____________ ____________ ____________ _____________ ____________ _____________ __ ____________ ____________ _____________ ____________ ____________ _____________ ____________ _____________ __ ____________ ____________ _____________ ____________ ____________ _____________ ____________ _____________ __ See accompa
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