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Title (Required) (USPTO)

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PTO/SB/69 (11-15)
AUTHORIZATION OR RESCISSION OF AUTHORIZATION TO PERMIT ACCESS TO
SEARCH
RESULTS BY THE EUROPEAN PATENT OFFICE (EPO)
Send completed form to: Commissioner for Patents
P.O. Box 1450, Alexandria, VA 22313
-
1450
(if known)
:
Filing Date:
First Named Inventor: Attorney Docket Number:
Title (Required)
Check either box 1 or 2 below, but not both:
1.
By checking this box, the undersigned hereby grants the USPTO authority to provide the EPO
access to the bibliographic data and search results from the instant patent application when a E
uropean patent
application claiming priority to the instant application is filed. See 37 CFR 1.14(h)(2).
The applicant is reminded that the EPO’s Rule 141(1) EPC (European Patent Convention) requires applicants to
submit a copy of search results from the instant application without delay in a European patent application that
claims priority to the instant app
lication.
2.
By checking this box, the undersigned hereby rescinds the previous authority granted to the
USPTO to transmit to the EPO any search results from the instant patent application.
This rescission of the previous authorization will not be effective unless and until an appropriate USPTO official
recognizes and acts on the rescission.
However, o
nce the application has published or is otherwise
publicly available, the USPTO may provide
access to the application in accordance with 37 CFR 1.14.
If you need assistance in completing the form, call 1-800-PTO-9199 and select option 2.
NOTE: This form must be signed by an authorized party in accordance with 37 CFR 1.14(c).
Please see 37 CFR 1.4(d)
for the form of the signature.
If
necessary, submit multiple forms for more than one signature, see below.*
Signature
Date
Name
(Print/Typed)
Practitioner
Registration Number
(If applicable)
Name of Assignee
(
if applicable
)
Title
(
if applicable
)
*Total of
______
forms are submitted.
Doc Code:
SREXR141
Document Description:
Auth or Resc of Auth to Access Search Results
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 Act.
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 required 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 issued
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.
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Title (Required) (USPTO)

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Completed 17 July 2021

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