Doc Code: RFN.REQ
Document Description Refund
PTO-2326 (05-2021)
U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE
REQUEST FOR REFUND
(Patent #, Application #,
Trademark Serial #, Registration #, etc.)
Title of Invention or Mark Information
Attorney Docket # (if applicable) Payment Date (mm/dd/yyyy) Refund Request Amount
Refund Option
(Select one)
If approved, issue the refund to the account associated with the original payment.
If approved, and the original payment was a check, issue the refund to deposit account # __________________.
If approved, and the original payment was a check, issue the refund as a U.S. Treasury check.
Reason for Refund Request Refund requests must generally be filed within 2 years of payment date (37 CFR 1.26 and 2.209)
Duplicate Payment
Small Entity Later Established*
(*must be filed within 3 months of payment date, 37 CFR 1.28)
No Fee Due Office Error
Other ________________________________________________________________
Rationale (Supporting documentation may be submitted with this form)
Requester’s Information
Company or Firm Name (if applicable)
(if applicable)
You will receive an acknowledgment of receipt only if you provide a valid email address
Phone Number
Requester’s Name
if applicable
(mm/dd/yyyy)
Submit online: EFS-Web (registered users only; select "Request for Refund" from the document description menu), or
Fax to: 571-273-6500, or
Mail to: Mail Stop 16, Director of the U.S. Patent and Trademark Office, P.O. Box 1450, Alexandria, VA 22313-1450
