PTO/AIA/31 Notice of Appeal from the Examiner to the Patent Trial a

PTO/AIA/31 (03‐14) 
Approved  for  use  through  X/XX/2020. OMB 0651‐0063 
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. 

NOTICE OF APPEAL FROM THE EXAMINER TO 
THE PATENT TRIAL AND APPEAL BOARD 
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 in an envelope addressed to "Commissioner for Patents, P.O. 
Box 1450, Alexandria, on Alexandria, VA 22313‐1450" [37 CFR 1.8(a)] 

Docket Number (Optional) 

In re Application of
Application Number

Filed 

For

on ______________________________________________________. 
Signature _________________________________________________ 

Art Unit

Examiner 

Typed or printed name ______________________________________ 
Applicant hereby appeals to the Patent Trial and Appeal Board from the last decision of the examiner. 
The fee for this Notice of Appeal is (37 CFR 41.20(b)(1))                                                                                                      $ _____________________ 
          Applicant asserts small entity status. See 37 CFR 1.27. Therefore, the fee shown above is reduced 
          by 50%, and the resulting fee is:                                                                                                                                     $ _____________________ 
          Applicant certifies micro entity status. See 37 CFR 1.29. Therefore, the fee shown above is reduced 
          by 75%, and the resulting fee is:                                                                                                                                     $ _____________________ 
          Form PTO/SB/15A or B or equivalent must either be enclosed or have been submitted previously. 
          A check in the amount of the fee is enclosed. 
          Payment by credit card. Form PTO‐2038 is attached. 
          The Director is hereby authorized to charge any fees which may be required, or credit any overpayment 
          to Deposit Account No. ______________________. 
          Payment made via EFS‐Web. 
          A petition for an extension of time under 37 CFR 1.136(a) (PTO/AIA/22 or equivalent) is enclosed. 
          For extensions of time in reexamination proceedings, see 37 CFR 1.550. 
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          on this form. Provide credit card information and authorization on PTO‐2038. 
I am the 
          applicant                                            attorney or agent of record                                            attorney or agent acting under 37 CFR 1.34 
                                                                       Registration number __________________                         Registration number __________________ 
Signature __________________________________________________________________________________________________________  
Typed or Printed Name  _______________________________________________________________________________________________  
Telephone Number __________________________________________________________________________________________________ 
Date ______________________________________________________________________________________________________________ 
NOTE: This form must be signed in accordance with 37 CFR 1.33. See 37 CFR 1.4 for signature requirements and certifications. Submit multiple 
forms if more than one signature is required, see below*. 
          * Total of _____________ forms are submitted. 
This collection of information is required by 37 CFR 41.20(b)(1) and 41.31. 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, 1.14 and 41.6.  This collection  is  estimated  to  take  30 

    form
  to the  USPTO.
  Time

 will vary depending

  upon

minutes
to complete,
including
gathering,
preparing,
and submitting
the completed
application
the individual
      on the
  amount

  of  time you
  require

  this form
  and/or suggestions

  burden,
   should
  be
  sent
  to  the Chief  

case. Any comments
to complete
for  reducing
this

  Officer,

    U.S. Department

 of Commerce,

  1450, Alexandria,
    VA
  22313‐1450.

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Administrative
U.S.  Patent  and  Trademark Office,
P.O.  Box
  FORMS
    TO THIS ADDRESS.
   SEND TO:
  Commissioner

  for Patents,
  P.O.
  Box 1450,  Alexandria, VA 22313‐1450.
COMPLETED

If you need assistance in completing the form, call 1‐800‐PTO‐9199 and select option 2. 

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