PTO/AIA/31 (03‐14)
Approved for use through 01/31/2021. OMB 0651-0031
U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE
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NOTICE OF APPEAL FROM THE EXAMINER TO
THE PATENT TRIAL AND APPEAL BOARD
Docket Number (Optional)
I hereby certify that this correspondence is being facsimile
transmitted to the USPTO, EFS‐Web transmitted to the USPTO, or
deposited with the United States Postal Service with sufficient
postage in an envelope addressed to "Commissioner for Patents, P.O.
Box 1450, Alexandria, on Alexandria, VA 22313‐1450" [37 CFR 1.8(a)]
on ______________________________________________________.
Signature _________________________________________________
Typed or printed name ______________________________________
In re Application of
Application Number Filed
For
Art Unit Examiner
Applicant hereby appeals to the Patent Trial and Appeal Board from the last decision of the examiner.
The fee for this Notice of Appeal is (37 CFR 41.20(b)(1)) $ _____________________
Applicant asserts small entity status. See 37 CFR 1.27. Therefore, the fee shown above is reduced
by 50%, and the resulting fee is: $ _____________________
Applicant certifies micro entity status. See 37 CFR 1.29. Therefore, the fee shown above is reduced
by 75%, and the resulting fee is: $ _____________________
Form PTO/SB/15A or B or equivalent must either be enclosed or have been submitted previously.
A check in the amount of the fee is enclosed.
Payment by credit card. Form PTO‐2038 is attached.
The Director is hereby authorized to charge any fees which may be required, or credit any overpayment
to Deposit Account No. ______________________.
Payment made via EFS‐Web.
A petition for an extension of time under 37 CFR 1.136(a) (PTO/AIA/22 or equivalent) is enclosed.
For extensions of time in reexamination proceedings, see 37 CFR 1.550.
WARNING: Information on this form may become public. Credit card information should not be included
on this form. Provide credit card information and authorization on PTO‐2038.
I am the
applicant attorney or agent of record attorney or agent acting under 37 CFR 1.34
Registration number __________________ Registration number __________________
Signature __________________________________________________________________________________________________________
Typed or printed name _______________________________________________________________________________________________
Telephone Number __________________________________________________________________________________________________
Date ______________________________________________________________________________________________________________
NOTE: This form must be signed in accordance with 37 CFR 1.33. See 37 CFR 1.4 for signature requirements and certifications. Submit multiple
forms if more than one signature is required, see below*.
* Total of _____________ forms are submitted.
This collection of information is required by 37 CFR 41.20(b)(1) and 41.31. 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, 1.14 and 41.6. 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.
