Form PTO-1966 Preliminary Amendment

Preliminary Amendment Form

PTO Form 1966 (Rev 4/2002)
OMB No. 0651-0050 (Exp. 4/2009 )

Preliminary Amendment Form
TEAS - Version 4.0 : 09/08/2007

For more information regarding any of the following questions or topics, either go to HELP
or click on the underlined word. You may use the following Preliminary Amendment Form
to:
●
●

Request a change to an application prior to examination; or
Request a change to an already-examined application, where no other mechanism
exists; i.e., no other TEAS form provides the opportunity to propose a change; e.g.,
amendment of the mark when submitting an Allegation of Use.

Advisory Note: You must maintain an accurate correspondence address with the USPTO. All
changes must be made in writing, or through the electronic Change of Correspondence
Address form.

Please answer all of the questions below to create a Preliminary Amendment Form showing
only sections relevant to you. To have many of the fields of your form automatically
completed using the Trademark Operation's database (based on your original filing), please
enter the serial number of your application. Finally, click on the NEXT button; or, to start
over, click on the CLEAR button.
NOTE: Fields containing the symbol "*" must be completed; all other relevant fields
should be completed if the information is known. A declaration will automatically
appear at the end of the actual form in each instance. To satisfy legal requirements, the
declaration at the end of the preliminary amendment form must be signed if a "#"
symbol precedes a specific item listed on the form, OR if the original application were
submitted "unsigned." The declaration must be signed by someone who is a "proper
party to sign on behalf of applicant" under Trademark Rule 2.33. If not required, the
declaration may simply be left unsigned. However, the information for the Preliminary
Amendment Signature section must always be entered.

http://eteas.uspto.gov/pra/ (1 of 5)12/4/2007 4:08:33 PM

Preliminary Amendment Form

NOTE: This form has a session time limit of 60 minutes. A session begins once you
create and enter the form via the Form Wizard. If you exceed the 60 minute time
limit, the form will not validate and you must begin the entire process again.
Therefore, you should have all information required to complete the form available
prior to starting your session.

* Serial
Number:

(required only if completing a new Preliminary
Amendment form; otherwise, access saved form, below)

OR
To access previously-saved data, use the "Browse/Choose File" button below to
access the file from your local drive. NOTE: For detailed instructions on the process
for retrieving saved data, please click here. FAILURE TO FOLLOW THESE NEW
INSTRUCTIONS WILL RESULT IN THE DISPLAY OF YOUR DATA IN AN
XML FORMAT THAT CANNOT BE EDITED.
Browse...

NOTE: You must wait approximately 7-10 days after your original submission to file the
Preliminary Amendment. Please first ensure that all of the original application data has been
fully loaded into the USPTO's TARR database before attempting to use this form.
WARNING: While you may successfully submit a Preliminary Amendment, the filing will
NOT result in any information being automatically uploaded into the USPTO's databases. An
examining attorney must review the amendment to determine whether the proposed change(s)
is acceptable. Also, you may NOT submit a Preliminary Amendment for an application filed
under the Madrid Protocol (Section 66(a)).

1. Do you want to pay an additional fee?
Yes

No

2. Do you need to ADD a new class of goods and/or services? (Note: If simply
CHANGING an existing classification number, use Question #3, below.)

http://eteas.uspto.gov/pra/ (2 of 5)12/4/2007 4:08:33 PM

Preliminary Amendment Form

Yes

No

If the answer is Yes, enter the number of classes:

1

3. Do you need to change/delete an existing classification number; modify listing of
goods and/or services; add/modify dates of use;add/substitute a specimen and/or
submit a foreign registration certificate ?
Yes

No

4. Do you want to correct any applicant or entity information?
Yes

No

5. Do you want to modify your mark? (i.e., either change the mark itself or submit a
better quality image)
NOTE: While minor changes in the mark are sometimes permitted, any material
alteration will NOT be permitted and will result in a refusal being issued on that
ground. If submitting a new mark image, it MUST be in the JPG format (only
attachments in other portions of the form (e.g., specimens, evidence) can be in the
PDF format).

Yes

No

If the answer is Yes, do you need to attach a new mark image?
Yes

No

6. Do you want to make any additional statement(s) of record to address a
requirement, e.g., a disclaimer or claim of a prior registration?

http://eteas.uspto.gov/pra/ (3 of 5)12/4/2007 4:08:33 PM

Preliminary Amendment Form

Yes

No

7. Is there one applicant but more than one signatory or joint or multiple applicants?
Yes

No

If the answer is Yes, enter the number of owners:

1

8. Is an attorney filing this Preliminary Amendment?
NOTE: Answering this question creates the appropriate signature section at the
end of the Preliminary Amendment, but does not allow you to appoint an attorney
or change a previously appointed attorney. An "Attorney Section" will NOT
appear in the form if you check "Yes".

Yes

No

9. Do you need to change correspondence address?
Yes

No

10. Do you need to submit a Signed Declaration? (i.e., either to verify an application
originally submitted UNSIGNED, or to support a specific item in the Preliminary
Amendment, designated on the form with a "#" symbol, e.g., new specimen.)
Yes

No

If yes, what signature approach do you want to use? Choose one from below.
Sign electronically directly on this Preliminary Amendment form
E-mail Text Form to second party for electronic signature
Handwritten pen-and-ink signature

http://eteas.uspto.gov/pra/ (4 of 5)12/4/2007 4:08:33 PM

Preliminary Amendment Form

11. What signature approach do you want to use for the Preliminary Amendment
itself? Choose ONE from below.
NOTE: A Preliminary Amendment MUST be signed.
NOTE: Although a possible combination as selected on the form wizard, the
following can NOT be used: declaration signed directly and Preliminary
Amendment signed through the e-mail text form approach.

Sign electronically directly on this Preliminary Amendment form
E-mail Text Form to second party for electronic signature

Next

Clear
Privacy Policy Statement

The information collected on this form allows the USPTO to determine whether a mark may be registered on the Principal
or Supplemental Register, and provides notice of an applicant’s claim of ownership of the mark. Responses to the request
for information are required to obtain the benefit of a registration on the Principal register. 15 U.S.C. §1051 et. seq. and
37 CFR Part 2. All information collected will be made public. Gathering and providing the information will require an
estimated 10 minutes (depending if the response is based on an intent to use the mark in commerce, use of the mark in
commerce, or a foreign application or registration). Please direct comments on the time needed to complete this form,
and/or suggestions for reducing this burden to the Chief Information Officer, U.S. Patent and Trademark Office, U.S.
Department of Commerce, P.O. Box 1450, Alexandria, VA 22313-1450. Please note that the USPTO may not conduct or
sponsor a collection of information using a form that does not display a valid OMB control number.

Help Desk | Bug Report | Feedback | TEAS Home | Trademark Home | USPTO
Tue Dec 04 16:08:00 EST 2007

http://eteas.uspto.gov/pra/ (5 of 5)12/4/2007 4:08:33 PM