Form PTOL-413A Applicant Initiated Interview Request Form

PTOL-413A (07-10)
Approved for use through 07/31/2012. OMB 0651-0031
U.S. Patent and Trademark Office: U.S. DEPARTMENT OF COMMERCE

Doc Code: M865 or FAI.REQ.INTV

Applicant Initiated Interview Request Form
Application No.:_________________
Examiner:______________________

First Named Applicant:____________________________________
Art Unit:__________ Status of Application:__________________

Tentative Participants:
(1)_____________________________ (2)_______________________________
(3)_____________________________ (4)_______________________________
Proposed Date of Interview:_____________________
Type of Interview Requested:
(1) [ ] Telephonic
(2) [ ] Personal

Proposed Time:__________ (AM/PM)

(3) [ ] Video Conference

Exhibit To Be Shown or Demonstrated: [ ] YES
[ ] NO
If yes, provide brief description:________________________________________________

Issues To Be Discussed
Issues
(Rej., Obj., etc)

Claims/
Fig. #s

Prior
Art

Discussed

Agreed

Not Agreed

(1)__________

________

______________

[ ]

[ ]

[ ]

(2)__________

________

______________

[ ]

[ ]

[ ]

(3)__________

________

______________

[ ]

[ ]

[ ]

(4)__________
________
______________
[ ]
[ ]
[ ]
[ ] Continuation Sheet Attached
[ ] Proposed Amendment or Arguments Attached
Brief Description of Arguments to be Presented: __________________________________________

______________________________________________________________________________
An interview was conducted on the above-identified application on _________________________.
NOTE: This form should be completed and filed by applicant in advance of the interview (see MPEP § 713.01).
If this form is signed by a registered practitioner not of record, the Office will accept this as an indication that he
or she is authorized to conduct an interview on behalf of the principal (37 CFR 1.32(a)(3)) pursuant to 37 CFR
1.34. This is not a power of attorney to any above named practitioner. See the Instruction Sheet for this form,
which is incorporated by reference. By signing this form, applicant or practitioner is certifying that he or she has
read the Instruction Sheet. After the interview is conducted, applicant is advised to file a statement of the
substance of this interview (37 CFR 1.133(b)) as soon as possible. This application will not be delayed from issue
because of applicant’s failure to submit a written record of this interview.

Applicant/Applicant’s Representative Signature

Examiner/SPE Signature

Typed/Printed Name of Applicant or Representative
Registration Number, if applicable
This collection of information is required by 37 CFR 1.133. 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 24 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: 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.