Request for Withdrawal as Attorney or Agent and Change of Correspondence Address (Individuals or Households)

Representative and Address Provisions

OMB: 0651-0035

IC ID: 187259

Documents and Forms

Document Name Document Type
Form PTO/AIA/83 Request for Withdrawal as Attorney or Agent and Change of Correspondence Address (Individuals or Households) Form
PTO/AIA/83 Request for Withdrawal as Attorney or Agent and Change of Correspondence Address aia0083.pdf www.uspto.gov/sites/default/files/documents/aia0083.pdf Form
PTO/SB/83 Request for Withdrawal as Attorney or Agent and Change of Correspondence Address sb0083.pdf www.uspto.gov/sites/default/files/documents/sb0083.pdf Form