Federal agencies forms

All federal agencies forms

• SB 42 – 37 CFR 1.501 Information Disclosure Citation in a Patent(USPTO)
• SF 2821 – Agency Certification of Insurance Status(OPM)
• SF 2801PR – Agency Checklist for Phased Retirement - CSRS(OPM)
• SF 3107PR – Agency Checklist for Phased Retirement - FERS(OPM)
• RI 38-122 – Alternative Annuity and Rollover Election(OPM)
• SB 66 – Alternative: PDF(USPTO)
• SB 124 – Alternative: PDF(USPTO)
• SB 125 – Alternative: PDF(USPTO)
• SB 130 – Alternative: PDF(USPTO)
• PTOL 413A – Applicant Initiated Interview Request Form(USPTO)
• SF 3119 – Application for Court-Ordered Benefits for Former Spouse(OPM)
• SF 3104 – Application for Death Benefit (FERS)(OPM)
• SF 2800 – Application for Death Benefits (Civil Service Retirement System)(OPM)
• RI 92-19 – Application for Deferred or Postponed Retirement - Federal Employees Retirement System (FERS)(OPM)
• OF 311 – Application for Federal Employee Commercial Garnishment(OPM)
• SF 3107 – Application for Immediate Retirement (Federal Employees Retirement System)(OPM)
• SF 2802 – Application for Refund of Retirement Deductions(OPM)
• SF 3106 – Application For Refund of Retirement Deductions (Federal Employees Retirement System) (SF 3106A, Current/Former Spouse's Notification for Re(OPM)
• SF 2803 – Application to Make Deposit or Redeposit(OPM)
• SF 3108 – Application to Make Service Credit Payment (Federal Employees Retirement System)(OPM)
• SF 2804 – Application to Make Voluntary Contributions, CSRS(OPM)
• SB 477 – Assessed Fine Payment(USPTO)
• OF 69 – Assignment Agreement - Title IV, Intergovernmental Personnel Act(OPM)
• RI 76-10 – Assignment of Federal Employee's Group Life Insurance(OPM)
• SB 439 – Authorization for Internet Communications in a Patent Application or Request to Withdraw Authorization for Internet Communications(USPTO)
• SB 39 – Authorization or Rescission of Authorization to Permit Access to Application-As-Filed by Participating Offices(USPTO)
• SB 69 – Authorization or Rescission of Authorization to Permit Access to Search Results by the European Patent Office (EPO)(USPTO)
• SF 182 – Authorization, Agreement and Certification of Training(OPM)
• SF 1188 – Cancellation of Payroll Deductions for Labor Organization Dues(OPM)
• SB 44 – Certificate of Correction(USPTO)
• SB 92 – Certificate of Mailing or Transmission under 37 CFR 1.8(USPTO)
• SB 472 – Certification and Petition to Make Special under the Streamlined Claim Set Pilot Program(USPTO)
• SB 9 – Certification and Request for Consideration of an Information Disclosure Statement Filed After Payment of the Issue Fee Under the QPIDS Pilo(USPTO)
• AIA 424 – Certification and Request for Prioritized Examination Under 37 CFR 1.102(e)(USPTO)
• SB 469 – Certification and Request to Place the Patent Assignment Abstract of Title into the Patent Application File(USPTO)
• SB 453 – Certification and Request to Suspend the Requirement in 37 CFR 1.55(f) and (g) for Submission of the Certified Copy Due to the COVID-19 Outb(USPTO)
• SB 448 – Certification and Request to Treat an Application Filed During a Designated Significant Unplanned Electronic Business System Outage as an Ap(USPTO)
• AIA 34 – Certification and Transmittal of Appeal Forwarding Fee(USPTO)
• RI 20-122 – Certification for Physicians Comparability Allowances (PCA)(OPM)
• RI 38-133 – Certification for Title 38 Physicians and Dentists(OPM)
• SF 2820 – Certification of Insured Employee's Retired Status(OPM)
• SB 15A – Certification of Micro Entity Status - Gross Income Basis(USPTO)
• SB 15B – Certification of Micro Entity Status - Institution of Higher Education Basis(USPTO)
• AIA 440 – Certification of Pro Bono Representation(USPTO)
• RI 20-124 – Certification of Service Performed as a Law Enforcement Officer, Firefighter, Nuclear Materials Courier, Customs and Border Protection Offic(OPM)
• AIA 122 – Change of Correspondence Address Application(USPTO)
• AIA 123 – Change of Correspondence Address Patent(USPTO)
• SF 1153 – Claim for Unpaid Compensation of Deceased Civilian Employee(OPM)
• PTO 2048 – Complaint Regarding Invention Promoter(USPTO)
• SF 2818 – Continuation of Life Insurance Coverage as an Annuitant or Compensationer(OPM)
• PTO 2038 – Credit Card Payment Form and Instructions(USPTO)
• AIA 3 – Declaration (37 CFR 1.63) For Plant Application Using An Application Data Sheet (37 CFR 1.76)(USPTO)
• AIA 1 – Declaration (37 CFR 1.63) For Utility Or Design Application Using An Application Data Sheet (37 CFR 1.76)(USPTO)
• AIA 8 – Declaration For Utility Or Design Patent Application (37 CFR 1.63)(USPTO)
• SB 91 – Deposit Account Order Form(USPTO)
• AIA 18 – Design Patent Application Transmittal(USPTO)
• SB 43 – Disclaimer in a Patent under 37 CFR 1.321(a)(USPTO)
• SF 2800A – Documentation and Elections in Support of Application for Death Benefits When Deceased Was an Employee at the Time of Death(OPM)
• SF 3104B – Documentation and Elections in Support of Application for Death Benefits when Deceased was an Employee at the Time of Death (FERS)(OPM)
• SF 3112 – Documentation in Support of Disability Retirement Application(OPM)
• SF 3109 – Election of Coverage (Federal Employees Retirement System)(OPM)
• OF 5057 – Emergency Paid Leave Tracking(OPM)
• RI 20-97 – Estimated Earnings During Military Service(OPM)
• AIA 24 – Express Abandonment Under 37 CFR 1.138(USPTO)
• RI 10-125 – Federal Employee Retirement Coverage Corrections Act (FERCCA) Election Form(OPM)
• SB 17 – Fee Transmittal(USPTO)
• RI 34-1 – Financial Resources Questionnaire(OPM)
• RI 34-17 – Financial Resources Questionnaire (FEGLI)(OPM)
• RI 34-18 – Financial Resources Questionnaire (FEHB)(OPM)
• SB 29 – For Design Applications Only: Continued Prosecution Application (CPA) Request Transmittal(USPTO)
• SB 29A – For Design Applications Only: Receipt For Facsimile Transmitted CPA(USPTO)
• RI 20-064a – Former Spouse Survivor Annuity Election(OPM)
• SF 3110 – Former Spouse's Consent to FERS Election(OPM)
• RI 25-14a – Get Instructions(OPM)
• RI 79-9 – Health Benefits Cancellation/Suspension Confirmation(OPM)
• SF 2806 – Individual Retirement Record(OPM)
• SF 3100 – Individual Retirement Record (FERS)(OPM)
• SB 8PC – Information Disclosure Statement by Applicant - Patent Center - auto-load version(USPTO)
• SB 8A – Information Disclosure Statement by Applicant [page 1](USPTO)
• SB 8B – Information Disclosure Statement by Applicant [page 2](USPTO)
• SB 8C – Information Disclosure Statement Size Fee – Written Assertion Under 37 CFR 1.98(USPTO)
• RI 25-41 – Initial Certification of Full-Time School Attendance(OPM)
• PTOL 85B – Issue Fee Transmittal (Part B) of the Notice of Allowance and Fee(s) Due Form(USPTO)
• RI 38-128 – It's Time to Sign-up for Direct Deposit(OPM)
• RI 20-64 – Letter Reply to Request for Information(OPM)
• SB 45 – Maintenance Fee Transmittal(USPTO)
• SB 143 – Micro Entity - Response to Notice of Payment Deficiency & Show Cause Order - Options II & III(USPTO)
• SF 113A – Monthly Report of Federal Civilian Employment(OPM)
• SF 113G – Monthly Report of Full-Time Equivalent/Work-Year Civilian Employment(OPM)
• SB 7 – Multiple Dependent Claim Fee Calculation Sheet(USPTO)
• SB 35 – Nonpublication Request under 35 U.S.C. 122(b)(2)(B)(i) Note: This form must be signed in compliance with 37 CFR 1.33(b) and submitted with t(USPTO)
• AIA 31 – Notice of Appeal(USPTO)
• SF 2810 – Notice of Change in Health Benefits Enrollment(OPM)
• RI 25-15 – Notice of Change in Student's Status(OPM)
• SF 2819 – Notice of Conversion Privilege, Federal Employee's Group Life Insurance Program(OPM)
• SF 2806-1 – Notice of Correction of Individual Retirement Record(OPM)
• SF 3101 – Notice of Correction of Individual Retirement Record(OPM)
• SB 460 – Notification of Loss of Micro Entity Status(USPTO)
• SB 474 – Notification of Loss of Small Entity Status(USPTO)
• SF 50 – Notification of Personnel Action(OPM)
• AIA 81A – Patent – Power of Attorney or Revocation of Power of Attorney With a New Power of Attorney and Change of Correspondence Address(USPTO)
• SB 6 – Patent Application Fee Determination Record(USPTO)
• PTO 2042A – Patent Electronic System Verification Form(USPTO)
• SB 133 – Patent Term Adjustment Statement Under 37 CFR 1.704(d)(USPTO)
• SB 451 – Petition Fast-Track Appeals Pilot Program(USPTO)
• AIA 17P – Petition Fee Under 37 CFR 1.17(f), (g) & (h) Transmittal(USPTO)
• AIA 24A – Petition for Express Abandonment to Avoid Publication under 37 CFR 1.138(c)(USPTO)
• AIA 24B – Petition for Express Abandonment to Obtain a Refund(USPTO)
• AIA 22 – Petition for Extension of Time Under 37 CFR 1.136(a)(USPTO)
• AIA 22P – Petition for Extension of Time Under 37 CFR 1.136(a) in a Provisional Application(USPTO)
• SB 23 – Petition for Extension of Time Under 37 CFR 1.136(b)(USPTO)
• SB 64A – Petition for Revival of an Application for Patent Abandoned for Failure to Notify the Office of a Foreign or International Filing (37 CFR 1.(USPTO)
• SB 64 – Petition for Revival of an Application for Patent Abandoned Unintentionally under 37 CFR 1.137(a)(USPTO)
• SB 64PCT – Petition for Revival of an International Application for Patent Designating the U.S. Abandoned Unintentionally Under 37 CFR 1.137(a)(USPTO)
• SB 458 – Petition to Accept an Unintentionally Delayed Claim under 35 U.S.C. 119(a)-(d) or (f), 365(a) or (b), or 386(a) or (b) for the Right of Prio(USPTO)
• SB 445 – Petition to Accept an Unintentionally Delayed Claim under 35 U.S.C. 119(e) (37 CFR 1.78(c)) and/or to Accept an Unintentionally Delayed Clai(USPTO)
• SB 28PC – Petition to Make Special under the Accelerated Examination Program(USPTO)
• SB 459 – Petition to Restore the Benefit of a Provisional Application (37 CFR 1.78(b)) or to Restore the Priority to a Foreign Application (37 CFR 1.(USPTO)
• SF 3116 – Phased Employment/ Phased Retirement Status Elections(OPM)
• SB 478 – PIER Pilot Program – Reply to Requirement for Information under 37 CFR 1.105(USPTO)
• AIA 9 – Plant Patent Application (35 U.S.C. 161) Declaration (37 CFR 1.162)(USPTO)
• AIA 19 – Plant Patent Application Transmittal(USPTO)
• OF 8 – Position Description(OPM)
• AIA 81 – Power Of Attorney To One Or More Of The Joint Inventors And Change Of Correspondence Address(USPTO)
• AIA 80 – Power Of Attorney To Prosecute Applications Before The USPTO(USPTO)
• AIA 67 – Power to Inspect/Copy - For Applications Filed on or after September 16, 2012(USPTO)
• SF 2801 – pplication for Immediate Retirement (Civil Service Retirement System)(OPM)
• AIA 33 – Pre-Appeal Brief Request for Review ((USPTO)
• SB 17I – Processing Fee Under 37 CFR 1.17(i) Transmittal(USPTO)
• SB 16 – Provisional Application for Patent Cover Sheet(USPTO)
• SB 16PC – Provisional Application for Patent Cover Sheet - Patent Center auto-load version ((USPTO)
• SF 85 – Questionnaire for Non-Sensitive Positions(OPM)
• PTO 1595 – Recordation Form Cover Sheet - Patents Only(USPTO)
• SB 81C – Reexamination - Third Party Requester Power of Attorney of Revocation of Power of Attorney With a New Power of Attorney and Change of Corres(USPTO)
• AIA 81B – Reexamination or Supplemental Examination - Patent Owner Power of Attorney or Revocation of Power of Attorney With a New Power Of Attorney a(USPTO)
• SF 3103 – Register of Separations and Transfers(OPM)
• SF 2807 – Register of Separations and Transfers (CSRS)(OPM)
• AIA 6 – Reissue Application Declaration By The Assignee(USPTO)
• AIA 5 – Reissue Application Declaration By The Inventor(USPTO)
• SB 56 – Reissue Application Fee Transmittal(USPTO)
• AIA 53 – Reissue Application: Consent of Assignee; Statement of Non-Assignment(USPTO)
• AIA 50 – Reissue Patent Application Transmittal(USPTO)
• SF 2812A-1 – Report of Withholdings and Contributions for Health Benefits by Enrollment Code(OPM)
• SF 2812 – Report of Withholdings and Contributions for Health Benefits, Life Insurance, and Retirement(OPM)
• RI 20-7 – Representative Payee Application(OPM)
• SF 39A – Request and Justification for Selective Factors and Quality Ranking Factors (Attach to SF 39)(OPM)
• SB 68 – Request for Access to an Abandoned Application Under 37 CFR 1.14(USPTO)
• SF 59 – Request for Approval of Non-Competitive Action(OPM)
• RI 20-120 – Request for Change to Unreduced Annuity(OPM)
• SB 30 – Request for Continued Examination (RCE) Transmittal(USPTO)
• SB 30PC – Request for Continued Examination (RCE) Transmittal (Submitted Only via Patent Center)(USPTO)
• AIA 40 – Request for Correction in a Patent Application Relating to Inventorship or an Inventor Name, or Order of Names, Other than in a Reissue Appl(USPTO)
• SB 37 – Request for Deferral of Examination 37 CFR 1.103(d)(USPTO)
• SB 57 – Request for Ex Parte Reexamination Transmittal Form(USPTO)
• RI 30-1 – Request for Information(OPM)
• AIA 32 – Request for Oral Hearing Before the Patent Trial and Appeal Board(USPTO)
• SF 1187 – Request for Payroll Deductions for Labor Organization Dues(OPM)
• SB 134 – Request for Recalculation of Patent Term Adjustment in view of Safe Harbor Statement Under 37 CFR 1.704(d)(USPTO)
• SF 2805 – Request for Recovery of Debt Due the United States(OPM)
• SF 39 – Request for Referral of Eligibles(OPM)
• SB 59 – Request For Supplemental Examination Transmittal Form(USPTO)
• SF 3111 – Request for Waiver, Extension, or Search in Connection with Election of FERS Coverage, Federal Employees Retirement System(OPM)
• AIA 83 – Request for Withdrawal as Attorney or Agent and Change of Correspondence Address(USPTO)
• AIA 41 – Request to Correct or Update the Name of the Applicant Under 37 CFR 1.46(c)(1), or Change the Applicant Under 37 CFR 1.46(c)(2)(USPTO)
• SB 38 – Request to Retrieve Electronic Priority Application(s)(USPTO)
• SB 36 – Rescission of Previous Nonpublication Request (35 U.S.C. 122(b)(2)(B)(ii)) and, if applicable, Notice of Foreign Filing (35 U.S.C. 122(b)(2)(USPTO)
• RI 25-14 – Self-Certification of Full-Time School Attendance For The School Year(OPM)
• SB 142 – Small Entity - Response to Notice of Payment Deficiency & Show Cause Order - Options II & III(USPTO)
• SF 144 – Statement of Prior Federal Service(OPM)
• SF 144A – Statement of Prior Federal Service - Worksheet(OPM)
• AIA 96 – Statement Under 37 CFR 3.73(c)(USPTO)
• AIA 4 – Substitute Statement In Lieu Of An Oath Or Declaration For Plant Patent Application (35 U.S.C. 115(d) And 37 CFR 1.64)(USPTO)
• AIA 7 – Substitute Statement In Lieu Of An Oath Or Declaration For Reissue Patent Application (35 U.S.C. 115(d) And 37 CFR 1.64)(USPTO)
• AIA 2 – Substitute Statement In Lieu Of An Oath Or Declaration For Utility Or Design Patent Application (35 U.S.C. 115(d) And 37 CFR 1.64)(USPTO)
• AIA 11 – Substitute Statement Supplemental Sheet(USPTO)
• SF 85PS – Supplemental Questionnaire for Selected Positions(OPM)
• AIA 10 – Supplemental Sheet For Declaration(USPTO)
• SB 25A – Terminal Disclaimer in a Patent or Proceeding in view of an Application(USPTO)
• SB 26A – Terminal Disclaimer in a Patent or Proceeding in view of Another Patent(USPTO)
• AIA 63 – Terminal Disclaimer to Accompany Petition under 37 CFR 1.137 in a Design Application Filed on or after September 16, 2012(USPTO)
• SB 429 – Third-Party Submission Under 37 CFR 1.290 ((USPTO)
• AIA 82 – Transmittal For Power of Attorney To One Or More Registered Practitioners/Power Of Attorney By Applicant(USPTO)
• SB 21 – Transmittal Form(USPTO)
• PTO 1390 – Transmittal Letter to the U.S. Designated/Elected Office (DO/EO/US) Concerning a Submission under 35 U.S.C. 371 (for PCT filing dates on or(USPTO)
• RI 38-107 – URGENT - Reply Required Within 30 Days to Avoid Interruption of Your Payments(OPM)
• AIA 15 – Utility Patent Application Transmittal(USPTO)
• SF 813 – Verification of A Military Retiree's Service in Nonwartime Campaigns or Expeditions(OPM)
• RI 38-147 – Verification of Who is Getting Payments(OPM)
• RI 38-124 – Voluntary Contributions Election(OPM)
• RI 38-31 – We Need More Information About Your Missing Payment(OPM)
• RI 38-45 – We Need the Social Security Number of the Person Named Below(OPM)