Form Pto 1595 PDF Details

When it comes to managing patents in the United States, the Form PTO-1595 plays a pivotal role. Issued by the U.S. Department of Commerce and specifically by the United States Patent and Trademark Office (USPTO), this document, known as the Recordation Form Cover Sheet for Patents, serves numerous critical functions. It is employed primarily to record a variety of changes or assignments related to patent rights, marking significant events such as assignments, mergers, changes of name, security agreements, or even government interest assignments. The comprehensive nature of this form is evident from the detailed information it gathers, including the names and addresses of conveying and receiving parties, the nature of the conveyance along with execution dates, and details about the patent application or number. Additionally, the form functions as an Oath/Declaration under certain conditions, making it a versatile tool in patent documentation. Furthermore, it outlines the process for correspondence and specifies fee requirements associated with recording the document, offering a structured pathway for patent assignments to be officially recorded and acknowledged by the USPTO. Not only does this form facilitate the smooth transfer of patent rights, but it also maintains a transparent and accessible public record, contributing to the overall integrity of patent management and protection in the United States.

QuestionAnswer
Form NameForm Pto 1595
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other namesenter cover assignment get, cover sheet item printable, s cover assignment, s patent party

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Form PTO-1595 (Rev. 6-18)

U.S. DEPARTMENT OF COMMERCE

OMB No. 0651-0027 (exp. 06/30/2021)

United States Patent and Trademark Office

 

 

RECORDATION FORM COVER SHEET

PATENTS ONLY

To the Director of the U.S. Patent and Trademark Office: Please record the attached documents or the new address(es) below.

1. Name of conveying party(ies)

 

 

 

 

 

2. Name and address of receiving party(ies)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Internal Address:

 

 

 

 

 

 

 

 

 

 

 

Additional name(s) of conveying party(ies) attached? Yes

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Street Address:

 

 

 

 

 

 

 

 

 

 

3. Nature of conveyance/Execution Date(s):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Execution Date(s)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Assignment

Merger

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Security Agreement

Change of Name

 

 

 

City:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Joint Research Agreement

 

 

 

 

 

 

 

State:

 

 

 

 

 

 

 

 

 

 

 

Government Interest Assignment

 

 

 

 

 

Country:

Zip:

 

 

 

 

 

 

 

 

Executive Order 9424, Confirmatory License

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other

 

 

 

 

 

 

Additional name(s) & address(es) attached?

Yes

No

 

 

 

 

 

 

 

 

4. Application orpatentnumber(s):

This document serves as an Oath/Declaration (37 CFR 1.63).

A. Patent Application No.(s)

 

 

 

 

 

 

 

 

 

 

 

B. Patent No.(s)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Additional numbers attached?

Yes No

5.Name and address to whom correspondence concerning document should be mailed:

Name:

Internal Address:

Street Address:

City:

State:Zip:

Phone Number:

Docket Number:

Email Address:_

6. Total number of applications and patents involved:

7. Total fee (37 CFR 1.21(h) & 3.41)

$

Authorized to be charged to deposit account Enclosed

None required (government interest not affecting title)

8. Payment Information

Deposit Account Number

Authorized UserName

9. Signature:

Signature

Name of Person Signing

Date

Total number of pages including cover sheet, attachments, anddocuments:

Documents to be recorded (including cover sheet) should be faxed to (571) 273-0140, or mailed to:

Mail Stop Assignment Recordation Services, Director of the USPTO, P.O.Box 1450, Alexandria, V.A. 22313-1450

Guidelines for Completing Patents Cover Sheets (PTO-1595)

Cover Sheet information must be submitted with each document to be recorded. If the document to be recorded concerns both patents and trademarks separate patent and trademark cover sheets, including any attached pages for continuing information, must accompany the document. All pages of the cover sheet should be numbered

consecutively, for example, if both a patent and trademark cover sheet is used, and information is continued on one additional page for both patents and trademarks, the pages of the cover sheet would be numbered from 1

to 4.

Item 1. Name of Conveying Party(ies).

Enter the full name of the party(ies) conveying the interest. If there is insufficient space, enter a check mark in the "Yes" box to indicate that additional information is attached. The name of the additional conveying party(ies) should be placed on an attached page clearly identified as a continuation of the information Item 1. Enter a check mark in the "No" box, if no information is contained on an attached page. If the document to be recorded is a joint research agreement, enter the name(s) of the party(ies) other than the owner of the patent or patent application as the conveying party(ies).

Item 2. Name and Address of Receiving Party(ies).

Enter the name and full address of the first party receiving the interest. If there is more than one party receiving the interest, enter a check mark in the "Yes" box to indicate that additional information is attached. Enter a check mark in the "No" box, if no information is contained on an attached page. If the document to be recorded is a joint research agreement, enter the name(s) of the patent or patent application owner(s) as the receiving party.

Item 3. Nature of Conveyance/Execution Date(s).

Enter the execution date(s) of the document. It is preferable to use the name of the month, or an abbreviation of that name, in order that confusion over dates is minimized. Place a check mark in the appropriate box describing the nature of the conveying document. If the "Other" box is checked, specify the nature of the conveyance.

Item 4. Application Number(s) or Patent Number(s).

Indicate the application number(s), and/or patent number(s) against which the document is to be recorded. National application numbers must include both the series code and a six-digit number (e.g., 07/123,456), and international application numbers must be complete (e.g., PCT/US91/12345).

Enter a check mark in the appropriate box: "Yes" or "No " if additional numbers appear on attached pages. Be sure to identify numbers included on attached pages as the continuation of Item 4. Also enter a check mark if this Assignment is being filed as an Oath/Declaration ( 37 CFR1.63).

Item 5. Name and Address of Party to whom correspondence concerning the document should be mailed. Enter the name and full address of the party to whom correspondence is to be mailed.

Item 6. Total Applications and Patents involved.

Enter the total number of applications and patents identified for recordation. Be sure to include all applications and patents identified on the cover sheet and on additional pages.

Block 7. Total Fee Enclosed.

Enter the total fee enclosed or authorized to be charged. A fee is required for each application and patent against which the document is recorded.

Item 8. Payment Information.

Enter the deposit account number and authorized user name to authorize charges.

Item 9. Signature.

Enter the name of the person submitting the document. The submitter must sign and date the cover sheet. Enter the total number of pages including the cover sheet, attachments, and document.

This collection of information is required by 35 USC 261 and 262 and 15 USC 1057 and 1060. The information is used by the public to submit (and by the USPTO to process) patent and trademark assignment requests. After the USPTO records the information, the records for patent and trademarks, assignments, and other associated documents can be inspected by the public. To view documents recorded under secrecy orders or documents recorded due to the interest of the federal government, a written authorization must be submitted. This collection is estimated to take 30 minutes to complete, including gathering, preparing, and submitting the form to the USPTO. 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 Manager of the Assignment Division, USPTO, P.O. Box 1450, Alexandria, VA 22313-1450.

DO NOT SEND FEES OR COMPLETED FORMS TO THIS ADDRESS. SEND TO: Mail Stop Assignment Recordation Services, Director of the USPTO,P.O.Box1450,Alexandria,VA22313-1450.

Privacy Act Statement for Patent Assignment Recordation Form Cover Sheet

The Privacy Act of 1974 (P.L. 93-579) requires that you be given certain information in connection with the above request for information. This collection of information is authorized by 35 U.S.C. 1, 2, 261 and E.O. 9424. This information will primarily be used by the USPTO

for the recordation of assignments related to patents and patent applications. Submission of this information is voluntary but is required in order for the USPTO to record the requested assignment. If you do not provide the information required on the cover sheet, the assignment will not be recorded, and all documents will be returned to you.

After the information is recorded, the records and associated documents can be inspected by the public and are not confidential, except for documents that are sealed under secrecy orders or related to unpublished patent applications. Assignment records relating to unpublished patent

applications are maintained in confidence in accordance with 35 U.S.C. 122.

Records open to

the public are searched by users for the purpose of determining ownership for other property

rights with respect to patents and trademarks.

Routine uses of the information you provide may also include disclosure to appropriate Federal,

state, local, or foreign agencies in support of their enforcement duties and statutory or regulatory missions, including investigating potential violations of law or contract and awarding contracts or other benefits; to a court, magistrate, or administrative tribunal in the course of presenting evidence; to members of Congress responding to requests for assistance from their constituents; to the Office of Management and Budget in connection with the review of private relief legislation; to the Department of Justice in connection with a Freedom of Information Act request; to a contractor in the performance of their duties; to the Office of Personnel Management for personnel studies; and to the General Services Administration (GSA) as part of their records management responsibilities under the authority of 44 U.S.C. 2904 and 2906. Such

disclosure to GSA shall not be used to make determinations about individuals.

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1. When completing the pto 1595, be certain to include all of the necessary blanks within its relevant part. It will help speed up the work, which allows your information to be processed efficiently and properly.

Part # 1 for submitting recordation cover sheet

2. When this array of blanks is completed, go to type in the applicable information in all these: Name and address to whom, Total number of applications and, Additional numbers attached, Yes, Name, Internal Address, Street Address, City, State, Phone Number, Docket Number, Email Address, Signature, Zip, and Total fee CFR h.

Name and address to whom, Street Address, and Additional numbers attached inside recordation cover sheet

Be really mindful while completing Name and address to whom and Street Address, because this is where most people make a few mistakes.

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