Form PTO/SB/81C Reexamination – Third Party Requester Power of Attorney

Representative and Address Provisions

sb0081c

Reexamination – Third Party Requester Power of Attorney or Revocation of Power of Attorney with a New Power of Attorney and Change of Correspondence Address (Individuals or Households)

OMB: 0651-0035

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PTO/SB/81C (12-08)
Approved for use through XX/XX/XXXX. OMB Control Number 0651-0035
U.S. Patent and Trademark Office; 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.

REEXAMINATION - THIRD PARTY REQUESTER
POWER OF ATTORNEY OR
REVOCATION OF POWER OF ATTORNEY WITH
A NEW POWER OF ATTORNEY
AND
CHANGE OF CORRESPONDENCE ADDRESS

Control Number(s)
Filing Date(s)
First Named Inventor
Title
Patent Number
Examiner Name
Attorney Docket No(s).

I hereby revoke all previous requester powers of attorney given in the above-identified reexamination proceeding control number(s).

A Power of Attorney is submitted herewith.
OR

OR

I hereby appoint Practitioner(s) associated with the following Customer Number as my/our
attorney(s) or agent(s) to prosecute the proceeding(s) identified above, and to transact all
business in the United States Patent and Trademark Office connected therewith:
I hereby appoint Practitioner(s) named below as my/our attorney(s) or agent(s) to prosecute the proceeding(s)
identified above, and to transact all business in the United States Patent and Trademark Office connected therewith:
Practitioner(s) Name

Registration Number

Please recognize or change the correspondence address for the above-identified reexamination proceeding control number(s)
(more than one may be changed only if they are merged proceedings) to be:
The address associated with the above-mentioned Customer Number.

OR
The address associated with Customer Number:

OR
Firm or
Individual Name
Address
City

State

Zip

Country
Telephone

Email

I am the third party requester.
Proof of authority to act on behalf of requester submitted herewith or filed on

.

SIGNATURE of Third Party Requester

Signature
Name

Date
Telephone

Title and Company
This collection of information is required by 37 CFR 1.36. 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 information collection is estimated to take 30 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 Office of the Chief
Administrative Officer, U.S. Patent and Trademark Office, 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.
If you need assistance in completing the form, call 1-800-PTO-9199 and select option 2.

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File Typeapplication/pdf
File Titlesb0081c.pdf
AuthorUSPTO
File Modified2021-11-29
File Created2012-09-25

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