Form WIPO DM/1/III WIPO DM/1/III Annex III: Information on eligibility for protection

DM/1/III (E)

ANNEX III
Information on Eligibility for Protection under Rule 7(5)(g) and
Section 408(d) of the Administrative Instructions
IMPORTANT
1.

This Annex is optional and can be used to submit a statement under Rule 7(5)(g) that identifies information
known by the applicant to be material to the eligibility for protection of the industrial design concerned.

2.

This Annex is only relevant for the designation of the United States of America and can be used to submit an
Information Disclosure Statement and relevant accompanying documentation. Please note that the Information
Disclosure Statement may also be submitted directly to the United States Patent and Trademark
Office (USPTO).

3.

The Information Disclosure Statement forms (SB08a/SB08b/SB08a-EFS-web) are available on the USPTO
web site: www.uspto.gov/forms/aia_forms.jsp.

4.

For detailed information on the Information Disclosure Statement, visit the USPTO web site:
www.uspto.gov/web/offices/pac/mpep/s609.html.

5.

This Annex must be submitted with form DM/1 at the time of filing; it cannot be submitted separately.

6.

Please number your pages.

For use by the applicant
This Annex concerns the international application referenced by the applicant as below:
Reference:
For use by WIPO
Document type: DDP
Contracting Party: US

Information on Eligibility for Protection
Number of pages (including this cover page):

January 2022