Form PTO/AIA/50 "Reissue Patent Application Transmittal"

What Is Form PTO/AIA/50?

This is a legal form that was released by the U.S. Department of Commerce - Patent and Trademark Office on October 1, 2017 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on October 1, 2017;
  • The latest available edition released by the U.S. Department of Commerce - Patent and Trademark Office;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form PTO/AIA/50 by clicking the link below or browse more documents and templates provided by the U.S. Department of Commerce - Patent and Trademark Office.

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Page background image
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
 
 
   
     
   
 
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
         
 
 
 
 
         
 
 
 
 
 
         
 
 
 
 
 
 
         
 
  
 
 
 
 
 
 
 
 
 
 
          
 
 
     
                                                       
 
      
                             
 
                                     
 
 
 
 
 
 
 
 
        
  
 
 
 
 
    
 
 
 
 
 
 
 
 
 
                
 
 
 
        
  
 
 
 
 
 
 
 
    
 
 
 
        
  
 
 
 
 
 
 
 
 
 
           
 
 
 
 
 
 
 
 
    
 
 
 
 
        
  
 
 
 
  in
 
 
 
 
 
               
 
 
             
 
 
                           
 
 
 
 
        
  
 
 
 
 
    
 
 
 
 
 
        
  
 
 
 
 
 
                
 
 
             
 
 
 
 
    
 
 
 
        
  
 
 
     
  
 
 
 
 
 
 
                
 
 
 
               
 
 
 
 
 
 
 
 
 
 
 
 
    
 
 
 
 
 
               
 
 
 
 
 
        
  
 
 
 
 
       
   
       
   
 
    
                (If  
 
 
 
 
                 __________________________________________________  
                    
 
 
 
 
 
                 __________________________________________________  
                      
 
 
 
                 __________________________________________________  
        
  
 
 
  in duplicate,   Computer  
 
 
 
                 __________________________________________________  
                
 
                 __________________________________________________  
                    
 
 
 
  
 
 
 
 
                 __________________________________________________  
      
 
 
 
 
 
 
              
   
 
 
 
 
                
 
 
 
 
 
 
             
    
 
 
 
                
 
 
 
 
 
 
 
 
                       
  CD‐ROM     (2
 
 
 
              ii.          
 
           
 
 
 
  
 
 
          
 
 
 
 
 
      
       
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  If
 
 
 
 
 
 
 
 
 
 
 
 
PTO/AIA/50 (10‐17)
Approved for use through 03/31/2023. OMB 0651‐0033
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.
REISSUE
PATENT
APPLICATION
TRANSMITTAL
Address  
to:
Attorney
Docket No.  
First
Named
Inventor
Mail
Stop
Reissue
Commissioner
for
Patents
Original  
Patent
Number
P.O.
Box
1450
Original  
Patent
Issue Date
Alexandria,
VA
22313‐1450
(Month/Day/Year)
Priority Mail Express® Label No.
APPLICATION
FOR
REISSUE OF:  
Utility
Patent
Design Patent
Plant
Patent
(Check
applicable
box)
APPLICATION
ELEMENTS
(37 CFR   1.173)
ACCOMPANYING
APPLICATION
PARTS
1.
Fee
Transmittal
Form
11.       
Statement
of
status
and
support
for
all
changes
to the  
(PTO/SB/56)
claims.
See
37 CFR   1.173(c).  
2.
Applicant
asserts
small
entity status.  
See
37 CFR  
1.27
12.       
Power
of
Attorney
3.
Applicant
certifies
micro
entity
status.
See
37
CFR
1.29.
Applicant
must
attach
form
PTO/SB/15A
or   B  
or equivalent.  
13.       
Information
Disclosure
Statement
(IDS)
PTOSB/08
or PTO‐1449  
4.
Specification
and
Claims
double
column
copy of  
patent
format
(amended, if  
appropriate)
Copies
of
citations
attached
5.
Drawing(s)
(proposed
amendments, if  
appropriate)
14.       
English
translation
of
Reissue
Oath/Declaration
(if
applicable)
6.
Reissue
Oath/Declaration
or
Substitute
Statement
(37 CFR  
1.175)
(PTO/AIA/05, 06,    
or
07)
15.       
Return
Receipt
Postcard (MPEP     § 503)  
(Should be  
specifically
itemized)
7.
Application
Data
Sheet
NOTE:
Benefit
claims
under
37
CFR
1.78
and
foreign
priority
claims
under
37
CFR
1.55
MUST
be
set
forth   in  
an
16.       
Preliminary Amendment  
(37
CFR
1.173; MPEP     §
1453)
Application
Data
Sheet
(ADS).
8.
Original
U.S.
Patent
currently
assigned?
Yes
No
17.        Other:   ____________________________________________  
Yes,
check
applicable
box(es))
Written
Consent
of
all
Assigness (PTO/AIA/53)  
37
CFR
3.73(c)
Statement (PTO/AIA/96)  
9.
CD‐ROM or  
CD‐R
Program
(Appendix)
or large
table
Landscape
Table on  
CD
10. Nucleotide  
and/or
Amino
Acid Sequence  
Submission
(if
applicable, items   a.     –   c.
are
required)
a.
Computer
Readable
Form
(CRF)
This   is   a continuation  
reissue
or
divisional
reissue
application
b.
Specification Sequence  
Listing
on:
(i.e.,   a second    
or
subsequent reissue   application  
for
the
same
issued   patent).  
(Check
box   if
applicable.)
i.
copies)
or
CD‐R (2   copies);   or  
Paper
c.       
Statements verifying  
identity of  
above copies  
18.
CORRESPONDENCE
ADDRESS
The
address
associated
with
Customer Number:   __________________________________          
OR
Correspondence
address
below
Name  
Address  
City
State
Zip Code  
Country
Telephone
Email  
Signature
Date
Name (Print/Type)  
Registration No.
This  
collection
of
information   is
required
by
37
CFR
1.173.
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
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:
Mail
Stop
Reissue,
Commissioner
for
Patents,
P.O.
Box
1450,
Alexandria,
VA
22313‐1450.
you
need
assistance   in
completing
the
form,
call
1‐800‐PTO‐9199
and
select
option   2.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
 
 
   
     
   
 
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
         
 
 
 
 
         
 
 
 
 
 
         
 
 
 
 
 
 
         
 
  
 
 
 
 
 
 
 
 
 
 
          
 
 
     
                                                       
 
      
                             
 
                                     
 
 
 
 
 
 
 
 
        
  
 
 
 
 
    
 
 
 
 
 
 
 
 
 
                
 
 
 
        
  
 
 
 
 
 
 
 
    
 
 
 
        
  
 
 
 
 
 
 
 
 
 
           
 
 
 
 
 
 
 
 
    
 
 
 
 
        
  
 
 
 
  in
 
 
 
 
 
               
 
 
             
 
 
                           
 
 
 
 
        
  
 
 
 
 
    
 
 
 
 
 
        
  
 
 
 
 
 
                
 
 
             
 
 
 
 
    
 
 
 
        
  
 
 
     
  
 
 
 
 
 
 
                
 
 
 
               
 
 
 
 
 
 
 
 
 
 
 
 
    
 
 
 
 
 
               
 
 
 
 
 
        
  
 
 
 
 
       
   
       
   
 
    
                (If  
 
 
 
 
                 __________________________________________________  
                    
 
 
 
 
 
                 __________________________________________________  
                      
 
 
 
                 __________________________________________________  
        
  
 
 
  in duplicate,   Computer  
 
 
 
                 __________________________________________________  
                
 
                 __________________________________________________  
                    
 
 
 
  
 
 
 
 
                 __________________________________________________  
      
 
 
 
 
 
 
              
   
 
 
 
 
                
 
 
 
 
 
 
             
    
 
 
 
                
 
 
 
 
 
 
 
 
                       
  CD‐ROM     (2
 
 
 
              ii.          
 
           
 
 
 
  
 
 
          
 
 
 
 
 
      
       
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  If
 
 
 
 
 
 
 
 
 
 
 
 
PTO/AIA/50 (10‐17)
Approved for use through 03/31/2023. OMB 0651‐0033
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.
REISSUE
PATENT
APPLICATION
TRANSMITTAL
Address  
to:
Attorney
Docket No.  
First
Named
Inventor
Mail
Stop
Reissue
Commissioner
for
Patents
Original  
Patent
Number
P.O.
Box
1450
Original  
Patent
Issue Date
Alexandria,
VA
22313‐1450
(Month/Day/Year)
Priority Mail Express® Label No.
APPLICATION
FOR
REISSUE OF:  
Utility
Patent
Design Patent
Plant
Patent
(Check
applicable
box)
APPLICATION
ELEMENTS
(37 CFR   1.173)
ACCOMPANYING
APPLICATION
PARTS
1.
Fee
Transmittal
Form
11.       
Statement
of
status
and
support
for
all
changes
to the  
(PTO/SB/56)
claims.
See
37 CFR   1.173(c).  
2.
Applicant
asserts
small
entity status.  
See
37 CFR  
1.27
12.       
Power
of
Attorney
3.
Applicant
certifies
micro
entity
status.
See
37
CFR
1.29.
Applicant
must
attach
form
PTO/SB/15A
or   B  
or equivalent.  
13.       
Information
Disclosure
Statement
(IDS)
PTOSB/08
or PTO‐1449  
4.
Specification
and
Claims
double
column
copy of  
patent
format
(amended, if  
appropriate)
Copies
of
citations
attached
5.
Drawing(s)
(proposed
amendments, if  
appropriate)
14.       
English
translation
of
Reissue
Oath/Declaration
(if
applicable)
6.
Reissue
Oath/Declaration
or
Substitute
Statement
(37 CFR  
1.175)
(PTO/AIA/05, 06,    
or
07)
15.       
Return
Receipt
Postcard (MPEP     § 503)  
(Should be  
specifically
itemized)
7.
Application
Data
Sheet
NOTE:
Benefit
claims
under
37
CFR
1.78
and
foreign
priority
claims
under
37
CFR
1.55
MUST
be
set
forth   in  
an
16.       
Preliminary Amendment  
(37
CFR
1.173; MPEP     §
1453)
Application
Data
Sheet
(ADS).
8.
Original
U.S.
Patent
currently
assigned?
Yes
No
17.        Other:   ____________________________________________  
Yes,
check
applicable
box(es))
Written
Consent
of
all
Assigness (PTO/AIA/53)  
37
CFR
3.73(c)
Statement (PTO/AIA/96)  
9.
CD‐ROM or  
CD‐R
Program
(Appendix)
or large
table
Landscape
Table on  
CD
10. Nucleotide  
and/or
Amino
Acid Sequence  
Submission
(if
applicable, items   a.     –   c.
are
required)
a.
Computer
Readable
Form
(CRF)
This   is   a continuation  
reissue
or
divisional
reissue
application
b.
Specification Sequence  
Listing
on:
(i.e.,   a second    
or
subsequent reissue   application  
for
the
same
issued   patent).  
(Check
box   if
applicable.)
i.
copies)
or
CD‐R (2   copies);   or  
Paper
c.       
Statements verifying  
identity of  
above copies  
18.
CORRESPONDENCE
ADDRESS
The
address
associated
with
Customer Number:   __________________________________          
OR
Correspondence
address
below
Name  
Address  
City
State
Zip Code  
Country
Telephone
Email  
Signature
Date
Name (Print/Type)  
Registration No.
This  
collection
of
information   is
required
by
37
CFR
1.173.
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
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:
Mail
Stop
Reissue,
Commissioner
for
Patents,
P.O.
Box
1450,
Alexandria,
VA
22313‐1450.
you
need
assistance   in
completing
the
form,
call
1‐800‐PTO‐9199
and
select
option   2.
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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