Form PTO/AIA/33 Pre-Appeal Brief Request for Review

Doc Code: AP.PRE.REQ

PTO/AIA/33 (07-09)
Approved for use through 01/31/2013. OMB 0651-0031
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.

PRE-APPEAL BRIEF REQUEST FOR REVIEW
I hereby certify that this correspondence is being facsimile transmitted to
the USPTO, EFS-Web transmitted to the USPTO, or deposited with the
United States Postal Service with sufficient postage as first class mail in
an envelope addressed to “Mail Stop AF, Commissioner for Patents,
P.O. Box 1450, Alexandria, VA 22313-1450” [37 CFR 1.8(a)]
on

Signature

Docket Number (Optional)

Application Number

Filed

First Named Inventor

Art Unit

Examiner

Typed or printed
name

Applicant requests review of the final rejection in the above-identified application. No amendments are being filed
with this request.

This request is being filed with a notice of appeal.

The review is requested for the reason(s) stated on the attached sheet(s).
Note: No more than five (5) pages may be provided.

I am the
Signature
applicant.

Typed or printed name

attorney or agent of record.

Registration number ________________________________________.

Telephone number

attorney or agent acting under 37 CFR 1.34.
Registration number if acting under 37 CFR 1.34

Date

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