Fillable I. Power of Attorney. This form may be (USPTO)

Fill Online, Printable, Fillable, Blank I. Power of Attorney. This form may be (USPTO) Form

Use Fill to complete blank online USPTO (DC) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

I. Power of Attorney. This form may be (USPTO)

On average this form takes 9 minutes to complete

The I. Power of Attorney. This form may be (USPTO) form is 2 pages long and contains:

  • 0 signatures
  • 11 check-boxes
  • 32 other fields

Country of origin: US
File type: PDF

U.S.A. forms for USPTO

BROWSE USPTO (DC) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
PTO/AIA/81B (07-13)
Approved for use through 03/31/2021. OMB 0651-0035
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
I. Power of Attorney. This form may be used to change the Power of Attorney in a reexamination or
s
upplemental examination proceeding (or multiple proceedings where merged). This form may also be used to
change the Power of Attorney in the patent file; in such a case, a copy of this form will be placed in both the paten
t
file and the reexamination or supplemental examination proceeding.
A. Rev
ocation of Previous Power of Attorney. I hereby revoke all previous patent owner powers of attorney,
if
any, given:
in the above-identified reexamination or supplemental examination proceeding control number(s) (more than
one may be changed only if the proceedings are merged).
in the file of the above-identified patent.
(check BOTH boxes if change in BOTH the patent file and the reexamination or supplemental examination
proceeding is requested).
B.
Designation of Power of Attorney
.
A P
ower of Attorney is submitted herewith.
I
hereby appoint Practitioner(s) associated with the Customer Number identified in the box at
right as my/our attorney(s) or agent(s) to prosecute the proceeding(s)/patent identified above
and selected in section I(A), and to transact all business in the United States Patent and
Trademark Office connected therewith:
I hereby appoint Practitioner(s) named below as my/our attorney(s) or agent(s) to prosecute the proceeding(s)
identified above, and to transact all business in the United States Patent and Trademark Office connected
therewith:
Authorization for the Power of Attorney is provided by the signature on page 2 of this form.
This collection of information is required by 37 CFR 1.31, 1.32, and 1.33. The information is required to obtain or retain a benefit by the public,
which is to update (and by the USPTO to process) the file of a patent or reexamination proceeding. Confidentiality is governed by 35 U.S.C. 122
and 37 CFR 1.14. This collection is estimated to take 15 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.
REEXAMINATION OR SUPPLEMENTAL
EXAMINATION – PATENT OWNER POWER OF
ATTORNEY OR REVOCATION OF POWER OF
ATTORNEY WITH A NEW POWER OF ATTORNEY
AND CHANGE OF CORRESPONDENCE ADDRESS
FOR REEXAMINATION OR SUPPLEMENTAL
EXAMINATION AND PATENT
Control Number(s)
Filing Date(s)
First Named Inventor
Title
Patent Number
Examiner Name
Attorney Docket No(s)
Practitioner(s) Name
Registration Number
OR
OR
PTO/AIA/81B (07-13)
Approved for use through 03/31/2021. OMB 0651-0035
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
II. Change of Correspondence Address
Please recognize or change the correspondence address for the above-identified reexamination or supplemental
examination proceeding control number(s) (more than one may be changed only if they are merged proceedings)
and for the file of the above-identified patent to be:
T
he address associated with the above-identified Customer Number.
The address associated with the Customer Number identified in the box at right:
Firm or
Individual
Name
Address
City
Zip
Country
Telephone
NOTE: THE CORRESPONDENCE ADDRESS FOR THE REEXAMINATION OR SUPPLEMENTAL EXAMINATION
PROCEEDING CONTROL NUMBER(S) MUST BE THE SAME AS THAT FOR THE PATENT. SEE 37 CFR 1.33.
I
II
.
Authorization for Power of Attorney and (if selected) Change of Correspondence Address
I am the:
Inventor, having ownership of the patent being reexamined.
Patent owner.
Statement under 37 CFR 3.73(c) (Form PTO/AIA/96) submitted herewith or filed on ______________________.
Signature of Inventor or
Patent Owner
Date
Name
Telephone
Title and
Company
NOTE: Signatures of all the inventors or patent owners of the entire interest or their representative(s) are
required. If more than one signature is required, submit multiple forms, check the box below, and identify the total
number of forms submitted in the blank below.
A total of __________________ forms are submitted. If you need assistance in completing the form, call 1-800-
PTO-9199 and select option 2.
[Page 2 of 2]
OR
OR
OR
Privacy Act Statement
The Privacy Act of 1974 (P.L. 93-579) requires that you be given certain information in connection with your
submission of the attached form related to a patent application or patent. Accordingly, pursuant to the
requirements of the Act, please be advised that: (1) the general authority for the collection of this information is
35 U.S.C. 2(b)(2); (2) furnishing of the information solicited is voluntary; and (3) the principal purpose for which
the information is used by the U.S. Patent and Trademark Office is to process and/or examine your submission
related to a patent application or patent. If you do not furnish the requested information, the U.S. Patent and
Trademark Office may not be able to process and/or examine your submission, which may result in termination
of proceedings or abandonment of the application or expiration of the patent.
The information provided by you in this form will be subject to the following routine uses:
1. The information on this form will be treated confidentially to the extent allowed under the Freedom of
Information Act (5 U.S.C. 552) and the Privacy Act (5 U.S.C 552a). Records from this system of records
may be disclosed to the Department of Justice to determine whether disclosure of these records is
required by the Freedom of Information Ac
t.
2.
A record from this system of records may be disclosed, as a routine use, in the course of presenting
evidence to a court, magistrate, or administrative tribunal, including disclosures to opposing counsel in
the course of settlement negotiations.
3. A record in this system of records may be disclosed, as a routine use, to a Member of Congress
submitting a request involving an individual, to whom the record pertains, when the individual has
requested assistance from the Member with respect to the subject matter of the record.
4. A record in this system of records may be disclosed, as a routine use, to a contractor of the Agency
having need for the information in order to perform a contract. Recipients of information shall be requir
ed
to comply with the requirements of the Privacy Act of 1974, as amended, pursuant to 5 U.S.C. 552a(m).
5. A record related to an International Application filed under the Patent Cooperation Treaty in this system
of records may be disclosed, as a routine use, to the International Bureau of the World Intellectual
Property Organization, pursuant to the Patent Cooperation Treaty.
6. A record in this system of records may be disclosed, as a routine use, to another federal agency for
purposes of National Security review (35 U.S.C. 181) and for review pursuant to the Atomic Energy Act
(
42 U.S.C. 218(c)).
7. A record from this system of records may be disclosed, as a routine use, to the Administrator, General
Services, or his/her designee, during an inspection of records conducted by GSA as part of that agency’s
responsibility to recommend improvements in records management practices and programs, under
authority of 44 U.S.C. 2904 and 2906. Such disclosure shall be made in accordance with the GSA
regulations governing inspection of records for this purpose, and any other relevant (i.e., GSA or
Commerce) directive. Such disclosure shall not be used to make determinations about individuals.
8. A record from this system of records may be disclosed, as a routine use, to the public after either
publication of the application pursuant to 35 U.S.C. 122(b) or issuance of a patent pursuant to 35 U.S.C.
151. Further, a record may be disclosed, subject to the limitations of 37 CFR 1.14, as a routine use, to
the public if the record was filed in an application which became abandoned or in which the proceedings
were terminated and which application is referenced by either a published application, an application
open to public inspection or an iss
ued patent.
9. A record from this system of records may be disclosed, as a routine use, to a Federal, State, or local law
enforcement agency, if the USPTO becomes aware of a violation or potential violation of law or
regulation.
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

I. Power of Attorney. This form may be (USPTO)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 17 July 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document