NOTE: You must complete any field preceded by the symbol "*".

WARNING: This form has a session time limit of 60 minutes. Your "session" began as soon as you accessed this initial Form Wizard page. If you exceed the 60-minute time limit, the form will not validate and you must begin the entire process again; you can, however, extend the time limit. You should always try to have all information required to complete the form prior to starting any session.

*Serial Number:	(required only if completing the Trademark/Service Mark Allegation of Use form; otherwise, access saved form, below)

     OR

Access previously-saved data using the "Browse/Choose File" button below to access the file from your local drive. NOTE: For specific instructions, please click here. FAILURE TO FOLLOW THESE INSTRUCTIONS WILL RESULT IN THE DISPLAY OF YOUR DATA IN AN XML FORMAT THAT CANNOT BE EDITED. NOTE: Do NOT attempt to use the button below to upload an image file (for example, a specimen). You must use the button that will be presented for that purpose within the proper section of the actual form.
If appropriate to file at this time, please answer all of the questions below to create an Allegation of Use form showing only sections relevant to you. Then press the NEXT button. For more information regarding any of the following questions or topics, either go to HELP or click on the underlined word.

1. Is a newly appearing attorney filing this form?
Yes No

2. Is the applicant filing a Request to Divide as part of this Allegation of Use?
Yes No

Burden/Privacy Policy Statement

The information collected on this form allows the applicant to demonstrate that it has commenced use of the mark in commerce. With respect to applications filed on the basis of an intent to use the mark, responses to the request for information are required to obtain the benefit of a registration on the Principal or Supplemental register. 15 U.S.C. § 1051 et seq. and 37 CFR Part 2, 2.76, 2.86 and 2.88. All information collected will be made public. Gathering and providing the information will require an estimated 11 minutes. Please direct comments on the time needed to complete this form, and/or suggestions for reducing this burden to the Chief Information Officer, U.S. Patent and Trademark Office, U.S. Department of Commerce, P.O. Box 1450, Alexandria, VA 22313-1450. Please note that the USPTO may not conduct or sponsor a collection of information using a form that does not display a valid OMB control number.