PTO/AIA/15 (10‐17)
Approved for use through 11/30/2020. OMB 0651‐0032
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.
APPLICATION ELEMENTS
See MPEP chapter 600 concerning utility patent application contents.
UTILITY
PATENT APPLICATION
TRANSMITTAL
(Only for new nonprovisional applications under 37 CFR 1.53(b))
Attorney Docket No.
First Named Inventor
Title
ADDRESS TO:
Commissioner for Patents
P.O. Box 1450
Alexandria, VA 22313‐1450
Priority Mail Express®
Label No.
1. Fee T
ransmittal Form
(PTO/SB/17 or equivalent)
2. Applicant asserts small entity status.
See 37 CFR 1.27
3. Applicant certifies micro entity status. See 37 CFR 1.29.
Applicant must attach form PTO/SB/15A or B or equivalent.
4. Specification [Total Pages ____________]
Both the claims and abstract must start on a new page.
(See MPEP § 608.01(a) for information on the preferred arrangement)
5. Drawing(s) (35 U.S.C. 113) [Total Sheets ____________]
6. Inventor’s Oath or Declaration [Total Pages ____________]
(including substitute statements under 37 CFR 1.64 and assignments
serving as an oath or declaration under 37 CFR 1.63(e))
a. Newly executed (original or copy)
b. A copy from a prior application (37 CFR 1.63(d))
7. Application Data Sheet
* See note below.
See 37 CFR 1.76 (PTO/AIA/14 or equivalent)
8. CD‐ROM or CD‐R
in duplicate, large table, or Computer Program (Appendix)
Landscape Table on CD
9. Nucleotide and/or Amino Acid Sequence Submission
(if applicable, items a. – c. are required)
a. Computer Readable Form (CRF)
b. Specification Sequence Listing on:
i. CD‐ROM or CD‐R (2 copies); or
ii. Paper
c. Statements verifying identity of above copi
es
ACCOMPANYING APPLICATION PAPERS
10. Assignment Papers
(cover sheet & document(s))
Name of Assignee ___________________________
__________________________________________
11. 37 CFR 3.73(c) Statement Power of Attorney
(when there is an assignee)
12. English Translation Document
(if applicable)
13. Information Disclosure Statement
(PTO/SB/08 or PTO‐1449)
Copies of citations attached
14. Preliminary Amendment
15. Return Receipt Postcard
(MPEP § 503) (Should be specifically itemized)
16. Certified Copy of Priority Document(s)
(if foreign priority is claimed)
17. Nonpublication Request
Under 35 U.S.C. 122(b)(2)(B)(i). Applicant must attach form PTO/SB/35
or equivalent.
18. Other: _____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
*Note: (1) Benefit claims under 37 CFR 1.78 and foreign priority claims under 1.55 must be included in an Application Data Sheet (ADS).
(2) For applications filed under 35 U.S.C. 111, the application must contain an ADS specifying the applicant if the applicant is an
assignee, person to whom the inventor is under an obligation to assign, or person who otherwise shows sufficient proprietary
interest in the matter. See 37 CFR 1.46(b).
19. CORRESPONDENCE ADDRESS
The address associated with Customer Number: __________________________________ OR Correspondence address below
Name
Address
City State Zip Code
Country
Signature
Telephone Email
Date
Name Registration No.
(Print/Type) (Attorney/Agent)
This collection of information is required by 37 CFR 1.53(b). 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 and 1.14. 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 Inf
ormation 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.
