Petition to Director

Status: Original and derived artifacts are available for this document.

Download: pdf

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Petition to Director
TEAS - Version 8.1

GENERAL FORM INFORMATION:
•

•
•

TIMEOUT WARNING: You're required to log back in after 30 minutes
of inactivity. This ensures the USPTO complies with mandatory federal
information security standards and protects user information. After 25 minutes of
inactivity, you will be prompted to continue your session. If you do not continue
within 5 minutes, the session will end, you will be logged out of your USPTO.gov
account, and you will lose any unsaved data in the form. Please have all of your
information ready before you start.
DO NOT USE YOUR BROWSER BACK/FORWARD BUTTONS: Use only
the navigation buttons at the bottom of each page.
REQUIRED FIELDS: All have an ASTERISK (*), and the form will not
validate if these fields are not filled-out.

TO ACCESS THE PETITION FORM:
STEP 1: Use this option ONLY if a specific TEAS form does not already exist for the purpose
of this filing. Please double-check all possible TEAS forms before attempting to proceed.
STEP 2: ENTER APPLICATION SERIAL NUMBER/REGISTRATION NUMBER BELOW
OR ACCESS PREVIOUSLY FILLED-OUT/SAVED FORM.
* Serial/Registration Number
Enter a registration number even
(Do not enter serial/registration number if
if you are petitioning as part of an
you are accessing your saved form.)
expungement or reexamination
proceeding. :
OR
To upload a previously saved form file, first review the TEAS Help instructions for
accessing previously saved data and then use the "Browse..." button below to access the

form file saved on your computer. WARNING: Failure to follow the TEAS Help
instructions will result in the inability to edit your data.
Do NOT upload or attach any other file(s) (for example, a specimen or foreign
registration certificate) using the button below. You must upload other attachments
within the proper section of the actual form, after answering "Yes" to the appropriate
wizard question(s) on the next page.

CONTACT:
For general trademark information or help navigating the forms,
email [email protected], or telephone 1-800-786-9199 (press 1).
If you need help resolving technical glitches, email [email protected]. Please include in your
email your phone number, serial or registration number, and a screenshot of any error message
you may have received.
Instructions:
1. Use the Continue button at the bottom of each page to move through the form. Fill out all
fields for which information is known. Fields with a * symbol are mandatory and must be
completed.
2. Choose a signature method for signing the form on the Signature Page.
3. Review the data you entered by accessing the Input Table on the Validation Page.
Confirm that all information is displayed properly. Return to the appropriate section of the
form and make any needed corrections before submission of the petition.
4. Click on the Pay/Submit button at the bottom of the Validation Page and provide the
payment required (if any) to submit the form. When successful you will be navigated to a
confirmation screen.
5. An email acknowledging receipt of the submission (a filing receipt) will be sent to the
Primary Email Address for Correspondence.
Status Check:
•

The status of the filing is available in the Trademark Status & Document Retrieval System
(TSDR) 72 hours after filing.
Serial Number
Mark

Owner/Holder Information
Email Address:

Attorney Information
Email Address:
Primary Email Address
for Correspondence

Warning: This is the email address currently of
record in the USPTO database. If it is not the email
address of either the appointed attorney, if any,
otherwise the owner, it must be updated.

Secondary Email Address(es) for (Courtesy
Copies)
Updates to the owner's/holder's and appointed attorney's address(es) can be made within
this form. If no attorney is appointed, the owner's/holder's email address is the Primary Email
Address for Correspondence
Use this form to update the information above. A current email address must be provided for the
trademark owner/holder and the appointed attorney, if any. The Primary Email Address for
Correspondence is the email address of the attorney, if appointed, if not, the trademark owner/holder.
This is the official address for receiving communications from the USPTO. Courtesy email addresses
may be provided within this form.
STEP 3: PROVIDE RESPONSE BELOW.
* SELECT THE APPROPRIATE RADIO BUTTON TO INDICATE THE REASON FOR
YOUR PETITION.
Revive partially abandoned goods/services
Reverse holding of abandonment for incomplete response
Expunge or redact information from public view
Amend my application after a notice of allowance has issued
Allow multiple renditions of my mark in a single drawing
Accept a previously submitted and timely filed paper submission
Trademark Electronic Application System (TEAS) related issue
Problem occurred while making a fee payment (FPNG or Pay.gov related issue)
Other
Enter explanation:

REVIEW ALL QUESTIONS BELOW AND SELECT THE APPROPRIATE RADIO
BUTTONS TO ANSWER YES OR NO.
1. Is a newly appearing U.S.-licensed attorney filing this form or do you need to update
the bar information, email address, street address, phone or fax number for an already
appointed attorney?
Foreign-domiciled owners /holders must have a U.S.-licensed attorney represent
them before the USPTO in any application-or registration-related filing. Information
about hiring a U.S.-licensed attorney can be found on the USPTO website.

Yes

No

2. Do you need to submit a new or substitute specimen?

Yes

No

3. Do you need to add or delete a miscellaneous statement?
NOTE: The miscellaneous statement field includes the ability to attach a file, for
example, to provide requested product literature. Do not use this section for
attachments where a specific different section for the purpose already exists. This field
may also be used to request DELETION (WITHDRAWAL) of an additional
statement currently of record, for example, a disclaimer (see specific instructions
within form).

Yes

No

STEP 4: ACCESS ACTUAL PETITION FORM.
Click on the "Continue" button below to access the petition form for entering your information.

EXPLANATION OF FILING
Please provide a statement of the reason for your petition. A petition to the Director must
include a verified statement of the facts and the relief being requested.
Attachments
Click on the 'Click here to Attach Evidence' button below to select the file from your
computer. Visit the USPTO's website for information on acceptable file sizes and formats.
Instructions: Attach ONLY supporting evidence here, not your entire petition. Each portion
of this form serves a specific purpose for data processing reasons. Failure to follow this
instruction will cause significant delays in the processing and review of your filing.

Entering your statements of requested relief and facts in support of the petition:
1. In the free-text area below, enter your statements of requested relief and facts
in support of the petition. You may either type directly into the box, or cutand-paste from another document into this box.
2. If your browser version supports the enhanced functionality of this section, you
can format your entry, using the various editing keys displayed above the text
entry area (for font, size, color, bold, italics, etc.). Do NOT include any html or
other programming code or language that may create links within the
statement(s) section.
3. If no editing keys are displayed above the text entry box, then your current
browser version does not support the enhanced text-editing functionality. You
may wish to upgrade to a higher browser level. You may still use the box for
entry of your statement(s), but no formatting beyond conventional spacing will
be possible. Again, do NOT include any html or other programming code or
language that may create links within the explanation section.
4. When you have completed entry of your entire statement(s), click on the "Save
and Return to Form" button, above the text entry box. Do not use the "X"
button within the browser to close the window, as this may delete all entered
information. The form will retain any formatting you have used, viewable
through the icons on the Validation page upon completion and validation of
this form.
5. At the point of final validation, it is critical to confirm that all information is
displayed properly immediately before filing, regardless of the appearance of
the data at any point earlier in the process. If any previously-entered text or
files (e.g., evidence) are now missing, you must re-enter or re-attach before
final submission. Otherwise, the USPTO will not receive a complete petition,
e.g., if you initially pasted text into the explanation of filing field, but it is now
blank, you must paste it in again after final validation but before actual
submission or the USPTO will not receive that text at all.
When you have completed entry of your entire explanation below, click on this button. Do not
use the "X" button within the browser to close the window, as this may delete all entered
information.

Class code:

Use Information

Date of First Use of Mark Anywhere at least as early as

(MM/DD/YYYY)

Date of First Use of Mark Commerce at least as early as

(MM/DD/YYYY)

Specimen File: A specimen is required showing the mark in use in commerce for each class in the

registration.
Watch the TMIN video explaining what is meant by the term "specimen". Visit the USPTO's website
for information on acceptable file sizes and formats.
Instructions: Attach ONLY the specimen here, not the entire response to Office action. Each portion
of this form serves a specific purpose for data processing reasons. Failure to follow this instruction
will cause significant delays in the processing and review of your filing.
Describe what the submitted specimen consists of

ADDITIONAL INFORMATION REQUIRED FOR WEBPAGE SPECIMENS:

Enter webpage URL(s) and date(s) of access below if it does NOT appear on the attached specimen.
Enter webpage URL(s) and dates(s) of access below if it does NOT appear on the attached specimen.

If your specimen consists of a webpage, provide the webpage URL:

If your specimen consists of a webpage, indicate the date you accessed or printed the webpage:

(MM/DD/YYYY)

CHECK THIS BOX IF SPECIMENS ARE NOW BEING SUBMITTED OR WERE
PREVIOUSLY SUBMITTED UNVERIFIED IN THE APPLICATION.
Checking this box will automatically add the following declaration language to the form:
"The substitute (or new, or originally submitted, if appropriate) specimen(s) was/were in use in
commerce at least as early as the filing date of the application" [for an application based on
Section 1(a), Use in Commerce] OR "The substitute (or new, or originally submitted, if
appropriate) specimen(s) was/were in use in commerce prior either to the filing of the
Amendment to Allege Use or expiration of the filing deadline for filing a Statement of Use" [for
an application based on Section 1(b) Intent-to-Use] OR "The attached specimen is a true copy of
the specimen that was originally submitted with the application, amendment to allege use, or
statement of use" [for an illegible specimen]. The signatory being warned that willful false
statements and the like are punishable by fine or imprisonment, or both, under 18 U.S.C. §1001, and
that such willful false statements and the like may jeopardize the validity of the application or
submission or any registration resulting therefrom, declares that all statements made of his or her own
knowledge are true and all statements made on information and belief are believed to be true.
MISCELLANEOUS STATEMENT(S)
Use this field to DELETE (WITHDRAW) a statement previously submitted, e.g., "Please delete the
disclaimer currently of record."

•

•

•

For collective trademark/service mark/membership applications based on Section 1(a), use of
the mark in commerce: If you have not previously submitted an acceptable statement
indicating your method of control for all identified classes, use the text box below to indicate
your method of control (the following format is suggested: the applicant controls the members
use of the mark [indicate method of control, e.g., as specified in the applicant's bylaws or
other written provisions, etc.]).
For certification mark applications based on Section 1(a), use of the mark in commerce: If
you have not previously submitted an acceptable copy of the applicable certification
standards, click on the gray bar below labeled Click here to Attach/Remove Miscellaneous to
attach a copy of the standards that you use to determine whether particular goods or services
will, in fact, be certified.
For all certification mark applications: If you have not previously submitted an acceptable
statement of the characteristic(s), standard(s), or feature(s) that is (or will be) certified by the
mark for all identified classes, use the text box below to enter a statement of the
characteristic(s), standard(s), or other feature(s) that you are (or will be) certifying about the
identified goods/services. The following format is suggested: The certification mark, as used
or intended to be used by persons authorized by the certifier, certifies or is intended to certify
that the goods and/or services provided have [specify].
*Enter miscellaneous statement below:

Owner Information

Instructions:

Update the mailing address, if needed. The address entered on this page is publicly viewable in the
USPTO's TSDR database and is presumed to be the owner's/holder's domicile.
* Owner/Hol
der
DBA
(doing
business as)
AKA
(also known
as)
TA
(trading as)

[If an individual, use the following format: Last Name, First Name Middle Initial or Name, if applicable]

Formerl

y

* Entity
Type
dual

Indivi

Corp
oration
Limit
ed
Liability
Company
Partn
ership
Limit
ed
Partnershi
p
Joint
Venture

If U.S. Company
State or
Country/R
egion/Juris OR
diction/U.S If non-U.S. Company
. Territory
Where
Legally
Organized Note: You may correct an error or omission in the original listing. However, if the

State/Country of Incorporation has actually changed, you should file an assignment
document form PTO-1594.

Sole
Proprietor
ship
Trust
Estate
Other
Internal
Address
* Mailing
Address

(Entered
address is
publicly
viewable in the
USPTO's
TSDR database.
This address
must be
capable of
receiving mail
and may be
your street

NOTE: You must limit your entry here, and for all remaining fields within this overall section, to no more
than 40 characters (the storage limit for the USPTO database). You may need to abbreviate some words,
e.g., St. instead of Street. Failure to do so may result in an undeliverable address, due to truncation at
the 40 character limit.

address, a P.O.
box, or a "care
of" address.)

* City

NOTE: You must limit your entry here to no more than 22 characters.

* State

(Required for
U.S.
owners/holders
only)

* Country/Re
gion/Jurisdict
ion/U.S.
Territory

Select State
NOTE: You must include as part of the "City" entry any information related to geographical regions
(e.g., provinces) not found in the dropdown lists for "States" or "Countries." Enter the city and then the
geographical region, separated by a comma (e.g., Toronto, Ontario). In most instances, you will then
also have to select the country within which the region is found, below.

United States

* Zip/Postal
Code

(Required for
U.S. and certain
international
addresses)

Domicile
Address

(Entered
address is not
publicly
viewable in the
USPTO's TSDR
database unless
it is the same
as the mailing
address. If your
mailing address
is not your
domicile, you
must enter the
number, street,
city, state,
country or U.S.
territory, and if
applicable,
zip/postal code
of
your domicile a
ddress. In most
cases, a P.O.
box, "care of"
address, or
similar
variation is not
acceptable as a
domicile
address.)

Uncheck this box if the domicile address and mailing address of the trademark
owner/holder are NOT the same. Fields for entering the domicile address will
appear.

Phone
Number
Fax Number
* Email
Address

Confirm that
the email

The owner/holder is required to provide an email address and keep that address
current with the USPTO. If the owner/holder is represented by a U.S.-licensed

address is
correct before
continuing. The
owner email
address is not
publicly
viewable in the
USPTO's TSDR
database.

attorney, only the attorney's email address will be used for correspondence by the
USPTO.
NOTE: The owner/holder or the owner's/holder's attorney acknowledges that he or she is solely
responsible for receiving USPTO emails. Additionally, the owner/holder or the owner's/holder's attorney
is responsible for periodically checking the status of the application/registration using the Trademark
Status & Document Retrieval (TSDR) system. USPTO notices and office actions issued in this
application/registration can be viewed online using TSDR. The USPTO is not responsible for any failure to
receive a USPTO-issued email due to the receiver's security or anti-spam software, or any problems with
the receiver's email system.

FEE INFORMATION
To pay a fee for any of the items that may be listed below in the "Additional Fees" portion, use the
pulldown menu in the "Multiplier" column to "activate" that fee choice. Repeat as necessary. The
"Overall Total Amount" will reflect all selected "Additional Fees," along with any "Required Fees," if
specifically so designated in the form.
Required Fees
Fee Information

Per

Multiplier

Fee

Total

Petition to Director Fee

Per Petition

x

$400

$400

Required Fee Total

$400
Additional Fees

Fee Information

Per

Multiplier Fee Total

Allegation of Use Fee

Number of
Classes

x

Additional Fee for Filling Renewal Application During Grace Period

Number of
Classes

x

Additional Fee for Filing Section 8 Affidavit During Grace Period

Number of
Classes

x

Publication of Mark Under Section 12(c) Fee

Number of
Classes

x

Extension Request Fee

Number of
Classes

x

Section 15 Affidavit Fee

Number of
Classes

x

Section 8 Affidavit Fee

Number of
Classes

x

Ex Parte Appeal Fee

Number of
Classes

x

Application for Renewal Fee

Number of
Classes

x

0

$150 $0

0

$100 $0

0

$100 $0

0

$100 $0

0

$125 $0

0

$250 $0

0

$325 $0

0

$225 $0

0

$325 $0

Application for Registration Fee

Number of
Classes

x

Additional fee for insufficient information (Sections 1 and 44)

Number of
Classes

x

Additional fee for using the free-form text box instead of the Trademark Number of
ID Manual within Trademark Center to identify goods and services
Classes
(Sections 1 and 44)

x

Section 66(a) application Fee

Number of
Classes

x

Petition for Cancellation Fee

Number of
Classes

x

Notice of Opposition Fee

Number of
Classes

x

Divisional Request Fee, Per New Application (File Wrapper) Created

Number of x
New
0
Applications

$100 $0

Additional Processing Fee for Each Payment Refused or Charged Back

Number of
Payments
Refused or
Charged
Back

$50 $0

Correcting a Deficiency in a Renewal Application Fee

x
Per
Application 0

$100 $0

Correcting a Deficiency in a Section 8 Affidavit Fee

x
Per
Application 0

$100 $0

Issuing New Certificate of Registration Fee

x
Per
Application 0

$100 $0

Certificate of Correction Fee, Registrant's Error

x
Per
Application 0

$100 $0

Filing Disclaimer to Registration Fee

x
Per
Application 0

$100 $0

Filing Amendment to Registration Fee

x
Per
Application 0

$100 $0

x
Transmitting a request to record an assignment or restriction under §7.23 Per
or §7.24
Application 0

$100 $0

Transmitting a subsequent designation under §7.21

x
Per
Application 0

$100 $0

Correcting a deficiency in an affidavit under §71 of the Act

x
Per
Application 0

$100 $0

0

$350 $0

0

$100 $0

0

$200

0

$0

$600 $0

0

$600 $0

0

$600 $0

x
0

Filing Amendment to Registration Fee

x
Per
Application 0

$100 $0

Extension of time for filing a response to an office action

x
Per
Application 0

$125 $0

x
Filing a Request for an Extension of Time to File a Notice of Opposition Per
under Section 2.102(c)(3)
Application 0

$200 $0

x
Filing a Request for an Extension of Time to File a Notice of Opposition Per
under §2.102(c)(1)(ii) or (c)(2)
Application 0

$400 $0

7.6(a)(1) Certifying an International Application Based on Single
Application or Registration

Per Class

Filing a notice of replacement under §7.28

Per Class

Surcharge for filing affidavit under §71 of the Act during grace period

Per Class

7.6(a)(2) Certifying an International Application Based on More than One Per Class
Basic Application or Registration
Filing an affidavit under §71 of the Act

Per Class

x

0

$100 $0

0

x
0

x

Per Petition

$100 $0

x

Deletion of any or all goods/services in a class when filing after
submission and before acceptance of a Declaration of Use and Excusable Per Class
Nonuse under Trademark Act Sections 71

Paper Petition

0

x

x

Per Petition

$100 $0

x

Deletion of any or all goods/services in a class when filing after
submission and before acceptance of a Declaration of Use and Excusable Per Class
Nonuse under Trademark Act Sections 8

Petition To Revive Partially Abandoned Application Fee

0

$150 $0
$325 $0

0

$250 $0

0

$250 $0

0

$250 $0

0

$500 $0

x
x

Additional Fee Total

$0

OVERALL TOTAL AMOUNT

$400

CORRESPONDENCE INFORMATION
To make changes to the Primary Email Address for Correspondence below, either
(1) return to the Owner Information section (if no attorney has been appointed) and enter the change,
or
(2) use the Attorney Information section of the form to enter the change (if an attorney has been
appointed).
Name

Primary Email Address for Correspondence:
Secondary Email Address(es) (Courtesy
Copies):
Email Enter up to 4 addresses, separated by either a semicolon or a comma.
Addres
s Only the Primary Email Address for Correspondence is used for official communication
by the USPTO. If an attorney has been appointed, the USPTO will correspond ONLY with
the appointed attorney; otherwise the USPTO will correspond with the owner/holder. The
owner/holder or the appointed attorney must keep this email address current with the
USPTO.
NOTE: I understand that (1) a valid email address must be maintained by the owner/holder and the applicant
owner's/holder's attorney, if appointed, for correspondence and (2) all official trademark correspondence must
be submitted via the Trademark Electronic Application System (TEAS).

DECLARATION SIGNATURE
When facts are to be proved on petition, the petitioner must submit proof in the form of
statements verified with a declaration signed by someone with firsthand knowledge of the
facts. Trademark Rule 2.146(c).
Click to choose ONE signature method:
Sign electronically directly on this petition form
electronic signature

Email Text Form to second party for

Handwritten pen-and-ink signature

NOTE: To electronically sign this document, enter any alpha/numeric characters (letters/numbers)
of your choosing, preceded and followed by the forward slash (/) symbol. Most signatories enter
their name between the two forward slashes; examples of acceptable "signatures" include: /john
doe/; /jd/; or /123-4567/.
The signatory being warned that willful false statements and the like are punishable by fine or
imprisonment, or both, under 18 U.S.C. § 1001, and that such willful false statements and the
like may jeopardize the validity of the application, submission, or any registration resulting
therefrom, declares that the facts set forth above are true; all statements made of his/her own
knowledge are true; and all statements made on information and belief are believed to be true.
* Signature

* Date Signed
Examples of acceptable
"signatures" include: /john
doe/; /jd/; or /123-4567/.
NOTE: Must be personally
signed by the individual listed in
the Signatory's Name field. 37
C.F.R. §2.193(a). The person
signing may not enter someone
else's signature.

(MM/DD/YYYY)

* Signatory's Name
* Signatory's Position
NOTE: Limit your entry to no more than 150 characters (the storage limit for this field
in the USPTO database).

Enter appropriate title or nature of relationship to the owner/holder.
If the signer is
- An individual owner/holder, enter "Owner" or "Holder" as
appropriate.
- Joint individual owners/holders, enter "Owners" or "Holders" as
appropriate.
- A business entity authorized signatory, enter official title; e.g.,
"President" (if a corporation),"General Partner" (if a partnership), or
"Principal" (if a limited liability company).
- A U.S.-licensed attorney, enter "Attorney of record," and if not
specified in the application or prior communications, specify at least
one state bar admission, e.g., "Attorney of record, New York Bar
member." Also, if the signing attorney is from the same U.S. firm as
the attorney of record, but was not listed in the original filing and is
not otherwise of record, also include law firm name, e.g., Associate
Attorney, Smith, Jones & Davis, Virginia Bar member.
Signatory's Phone Number

PETITION SIGNATURE
Click to choose ONE signature method:
Sign electronically directly on this petition form
Email Text Form to second party for
electronic signature
NOTE: Although a possible combination as selected on the form, the following signing method
must NOT be used: declaration signed directly and petition signed through the email text form
approach.
NOTE: To electronically sign this document, enter any alpha/numeric characters (letters/numbers)
of your choosing, preceded and followed by the forward slash (/) symbol. Most signatories enter
their name between the two forward slashes; examples of acceptable "signatures" include: /john
doe/; /jd/; or /123-4567/.
*You must click one of the three buttons below to confirm that you are legally authorized to sign this
form based on the trademark rules governing representation of others before the USPTO.
If you have a U.S.-licensed attorney representing you in this matter, only your attorney can sign
this petititon.
Petitioner who is not represented by an attorney (pro se): I hereby confirm that
•
•

I am not represented by an attorney in this matter, and am either: (1) the petitioner(s); or (2)
a person or person(s) with legal authority to bind the petitioner(s); and
If I had previously been represented by an attorney in this matter, either I revoked their power
of attorney by filing a signed revocation with the USPTO or the USPTO has granted this
attorney's withdrawal request.

ADVISORY: Click the above first button only if you are the petitioner(s) or legally authorized to

bind the petitioner(s); such as an officer of the petitioner corporation or association, or a general
partner of the petitioner partnership.
Authorized U.S.-Licensed Attorney: I hereby confirm that
•
•
•

I am a U.S.-licensed attorney who is an active member in good standing of the bar of the
highest court of a U.S. state (including the District of Columbia and any U.S. Commonwealth
or territory);
I am currently the trademark petitioner's attorney or an associate thereof;
To the best of my knowledge, if prior to my appointment another U.S.-licensed attorney not
currently associated with my company/firm previously represented the petitioner in this
matter:
o the petitioner has revoked their power of attorney by filing a signed revocation or
substitute power of attorney with the USPTO;
o the USPTO has granted that attorney's withdrawal request;
o the petitioner has filed a power of attorney appointing me in this matter; or
o the petitioner's appointed U.S.-licensed attorney has filed a power of attorney
appointing me as an associate attorney in this matter.

Authorized Canadian Trademark Attorney/Agent: I hereby confirm that
•
•
•

An authorized U.S.-licensed attorney has been appointed to represent the petitioner;
I have been granted reciprocal recognition under 37 C.F.R. §11.14(c)(1) by the USPTO's
Office of Enrollment and Discipline; and
I am an authorized signatory based on 37 C.F.R. §11.14(c)(2).

ADVISORY: Foreign attorneys (other than authorized Canadian attorneys/agents) may not sign
petitions and are prohibited from representing a trademark petitioner before the USPTO in trademark
matters.
NOTE: If more than one owner/holder, ALL must sign the overall petition.
* Signature

* Date Signed
Examples of acceptable
"signatures" include: /john
doe/; /jd/; or /123-4567/.
NOTE: Must be personally
signed by the individual listed in
the Signatory's Name field. 37
C.F.R. §2.193(a). The person
signing may not enter someone
else's signature.

(MM/DD/YYYY)

* Signatory's Name
* Signatory's Position
NOTE: Limit your entry to no more than 150 characters (the storage limit for this field
in the USPTO database).

Enter appropriate title or nature of relationship to the owner/holder.

If the signer is
- An individual owner/holder, enter "Owner" or "Holder" as
appropriate.
- Joint individual owners/holders, enter "Owners" or "Holders" as
appropriate(all must sign the form).
- A business entity authorized signatory, enter official title; e.g.,
"President" (if a corporation),"General Partner" (if a partnership), or
"Principal" (if a limited liability company).
- A U.S.-licensed attorney, enter "Attorney of record," and if not
specified in the application or prior communications, specify at least
one state bar admission, e.g., "Attorney of record, New York Bar
member." Also, if the signing attorney is from the same U.S. firm as
the attorney of record, but was not listed in the original filing and is
not otherwise of record, also include law firm name, e.g., Associate
Attorney, Smith, Jones & Davis, Virginia Bar member.
Signatory's Phone Number
Notice: By clicking the validate button, you acknowledge that certifications are being made to the USPTO as set forth in 37
C.F.R § 11.18(b).

Validation Page
You completed all mandatory fields and successfully validated the form. It has NOT been
filed to the USPTO at this point. Please complete all steps below to submit the form.
STEP 1: Review the data in various formats, by clicking on the phrases under Petition Data.
Use the print function within your browser to print these pages for your own records.
Note: It is important that you review this information for accuracy and completeness now.
Corrections after submission may not be permissible, thereby possibly affecting your legal rights.
Note: If you are using the e-signature approach or the handwritten pen-and-ink signature
approach, you must click on the final link to access the specific "text form" for that purpose.
Petition Data
Input

Specimen(s)

Mark

XML File

Textform

STEP 2: If there are no errors and you are ready to file, confirm the Primary Email
Address for Correspondence, displayed below. To make changes to this email address, use
the navigation buttons below to return to the appropriate page in the form and update either the
attorney's email address, if appointed, or the applicant owner's/holder's email
address. Courtesy copies are also permitted and these email address(es) are displayed below.
To update these addresses, use the navigation buttons below to return to the Correspondence
Information page and enter the changes.
After you submit the form, the USPTO will send an acknowledgment of receipt to the
following email address(es):
Primary Email Address for Correspondence:

Secondary Email Address(es) (Courtesy
Copies):
STEP 3: To download and save the form data, click on the Save Form button at the bottom
of this page. The information will be saved to your local drive. To begin the submission
process with saved data, you must open a new form, and click on the "Browse/Choose File"
button displayed on the initial form wizard page. Clicking on the "Continue" button at the
bottom of that first page will then properly open the saved version of your form.
STEP 4: Read and check the following:
Important Notice:
1. You have included with this petition a response that addresses each issue raised in
the Office action, and that you understand that if the response does not fully
address each issue in the Office action, the Office will abandon your application
again, and will not grant another petition to revive. Note: All Office actions are
available through the Trademark Status & Document Retrieval (TSDR) system.
2. You are aware that if a fee was required, once you submit this form, we will not
refund the fee, because it is a processing fee for our substantive review.
3. You are aware that all information you submit to the USPTO at any point in the
application and/or registration process will become public record, including your
name, phone number, email address, and street address. By filing this document,
you acknowledge and agree that YOU HAVE NO RIGHT TO
CONFIDENTIALITY in the information disclosed. The public will be able to
view this information in the USPTO's on-line databases and through internet
search engines and other on-line databases. This information will remain public
even if the application is abandoned or any registration is surrendered, cancelled,
or expired. To maintain confidentiality of banking or credit card information, only
enter payment information in the secure portion of the site after validating your
form. For any information that may be subject to copyright protection, by
submitting it to the USPTO, the filer is representing that he or she has the
authority to grant, and is granting, the USPTO permission to make the information
available in its on-line database and in copies of the application or registration
record.
4. You are aware that private companies not associated with the USPTO often use
trademark application and registration information from the USPTO's databases
to mail or email trademark-related solicitations (samples of non-USPTO
solicitations included).

*
If you have read and understand the above notice, please check the box before you
click on the Pay/Submit button.

STEP 5: If you are ready to file:
Click on the Submit button at the bottom of this page to complete the filing process.
WARNING: After clicking the button, you can NOT return to the form to modify the data. If
you are not prepared to complete the process now, you should select the "Save Form" option
and then complete the Submit process later.
FEE PAYMENT (if required): Screens for entering payment information will follow after
clicking the Submit button. Following successful entry of the payment information, you can

complete the submission to the USPTO.
You must complete the payment process within 30 minutes of accessing the payment screen.
A complete transaction will result in a screen that says SUCCESS! Within 24 hours, an email
acknowledgment will also be sent. If you are not prepared to complete the process now, you
should select the "Save Form" option to save your form, and then complete the Pay/Submit
process later. Or, if you have discovered any error, use the "Go Back to Modify" button to
make a correction.
WARNING: Fee payments by credit card may not be made from 2 a.m. to 6 a.m. Sunday,
Eastern Time. If you are attempting to file during that specific period, you must use either (1)
the deposit account or electronic funds transfer payment method; or (2) the "Save Form" option
to save your form, and then complete the Pay/Submit process later for a credit card payment .