INSTRUCTIONS: DECLARATION FOR UTILITY OR DESIGN APPLICATION USING AN APPLICATION DATA SHEET (SB0001a)

This form is approved for use through January 31, 2014. The form is used as a declaratory statement stating the inventors understand all parts of the applications and that they are submitting the forms to the United States Patent and Trademark Office as defined under 37 CFR 1.56. The form also declares that filers believe they are the first inventor(s) of the subject.

“Declaration for Utility or Design Application Using an Application Data Sheet SB0001a Step 1”

Type in the name of the invention within the heading of the document.

“Declaration for Utility or Design Application Using an Application Data Sheet SB0001a Step 2”

Check the first box if the declaration is being directed to the attached application. Check the second box if the declaration is being directed to the United States application or the PCT international application number. Provide the number if you checked box 2, as well as the date of filing.

If the application was amended, check the third box and provide the date of amendment.

“Declaration for Utility or Design Application Using an Application Data Sheet SB0001a Step 3”

Before signing the form, make sure to read the Warning Statement in full. The last section of the statement states that the inventor(s) have completed all attached forms to the best of their ability and that all statements are true. If the inventors willfully provide false statements, the act is punishable by fine or imprisonment.

“Declaration for Utility or Design Application Using an Application Data Sheet SB0001a Step 4”

If there are two inventors, provide the names of the inventors at the bottom of the document. Provide signatures, the dates of the signatures, and where each inventor has citizenship.

“Declaration for Utility or Design Application Using an Application Data Sheet SB0001a Step 5”

Check the box at the bottom of page 1 if there are more than two inventors. Make sure to list the forms where additional information is located.

“Declaration for Utility or Design Application Using an Application Data Sheet SB0001a Step 6”

Make sure to read the Privacy Statement very closely on page 2 of this document.