Instructions for completing the Trademark Identity Verification Form

Instructions for completing the Trademark Identity Verification

Form for TEAS and TEASi

Follow these instructions to complete the Trademark identity verification form for TEAS/TEASi, available

at https://www.uspto.gov/sites/default/files/documents/TM-id-verification-form.pdf, used to verify your

identity with the United States Patent and Trademark Office (USPTO).

The completed form should be mailed to:

Mail Stop EBC

Commissioner for Trademarks

P.O. Box 1451

Alexandria, VA 22313-1451

Block 1 ‐ Requestor role (select only one)

• Select the U.S.-licensed attorney radio button only if you’re an attorney licensed to practice in

the United States.

• Select the Canadian attorney/agent radio button only if you’re a reciprocally recognized

Canadian attorney or agent.

• Select the Trademark owner radio button only if you’re one of the following:

o An individual person who owns the trademark

o A person who can legally bind the owner, such as the CEO or other corporate officer, or

a partner in a partnership

o A non-attorney employee of a trademark owner acting merely as a scrivener for

someone who has the authority to bind the owner in trademark matters. For example, a

company employee entering information into USPTO forms as provided to them by

their corporate officer.

• Select the Attorney support staff radio button only if you're a paralegal or other legal

professional staff who will be sponsored by a verified U.S.-licensed attorney or reciprocally

recognized Canadian attorney or agent.

Block 2 ‐ Requestor information

Name

• Provide your complete legal name, including first name, middle name (not initial) and last name.

• You must provide your name exactly as

it appears on a valid, current government-issued photo

ID, such as a driver’s license, state ID, passport, or resident alien card. The same valid government

identification must be presented to the notary at the time of notarization. Refer to the Identity

Proofs section at the bottom of this document for examples of acceptable government-issued

identification.

• The name on your USPTO.gov account must exactly match the name entered on the paper

verification form.

• For each name field entry, there is a 50 character maximum.

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Address

Provide the street

name,

number,

nd any addi

tional

omponents (directional symbols, etc.) necessary to

identify a specific address (100 characters maximum). This should match the address in your USPTO.gov

account.

City

The name of the city associated with your address (40 characters maximum).

State

Use the postal abbreviation for the state of the United States you reside in.

ZIP/Postal code

In the United States this equates to ZIP code (20 characters maximum).

Country

Use the complete English language spelling of the nation you reside in.

Telephone number

Include area code. Also include the country code if your number is based outside the United States (40

characters maximum).

USPTO.gov account email address

Provide the primary email address you use for electronic communications and profile information in your

USPTO.gov account, as indicated in https://my.uspto.gov (129 characters maximum).

Block 3 – Type of action requested

You may request the following actions by checking the appropriate box:

• Verify an existing USPTO.gov account and authorize it for Trademark filing

• Update USPTO.gov account

• Change USPTO.gov

account holder’s name

• Revoke account

• Other

Verify an existing USPTO.gov account and authorize it for Trademark filing

Use this selection if you have never verified your

USPTO.gov account for accessing TEAS and TEASi. In checking

this box, you are requesting the USPTO to verify the identity set forth in your USPTO.gov account for

conducting Trademark business. The account enables the USPTO to identify your electronic communications.

Update USPTO.gov account

Use this selection if you have previously verified your USPTO.gov account for conducting Trademark business

and need to change the primary email address associated with it. Your new email address should be listed in

Block 2. You will also need to enter your previous email address in the “Previous email address” line.

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Change USPTO.gov account holder’s name

Use this selection if you have previously verified your USPTO.gov account for conducting Trademark

business and need to change t

he name associated with it. Your new name

should

listed in Block 2, and

your previous name should be entered next to the “Previous Name” line.

Revoke Trademark authorization for current USPTO.gov account

Use this selection to request that the USPTO revoke your Trademark verification for this USPTO.gov

account. This will make it unusable for making Trademark filings with the USPTO.

Typical reasons for requesting revocation:

• You’re an attorney but you have mistakenly set up your current USPTO.gov account as a

paralegal or sponsored support staff user (sponsored by another attorney) and you wish to

change your role. Indicate this in the “Other” field to use the account as an attorney.

• A new account has been issued to you.

• You no longer wish to have an account.

• You have lost control of your account or the account has become compromised. If you need a

replacement account, complete the “Update USPTO.gov account” section of the form.

Other – describe in detail

Check this box to make additional requests or provide further details in the field provided.

Block 4 – Signature

Provide an inked signature and request date. Your signature indicates you have read and understand the

abide by the rules and policies of the USPTO regarding the Terms of Use.

Block 5 – Identification

All requestors must have their signature notarized by a notary public with a valid, non-expired

commission. Present the notary with two forms of acceptable identification from the list and have your

signature notarized.

Identity documents

To be sure of the identity of the person requesting the Trademark verified USPTO.gov account, the notary

completing the USPTO Trademark Identity Verification Form must see two forms of identification, at least

one of which is a picture ID. Acceptable forms of ID are:

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LIST A

DOCUMENTS THAT ESTABLISH

BOTH IDENTITY AND

EMPLOYMENT AUTHORIZATION

LIST B

DOCUMENTS THAT

ESTABLISH IDENTITY

LIST C

DOCUMENTS THAT ESTABLISH

EMPLOYMENT AUTHORIZATION

1. U.S. Passport or U.S. Passport Card 1. Driver's license or ID card issued by a

State or outlying possession of the

United States provided it contains a

photograph or information such as

name, date of birth, gender, height,

eye color, and address

1. A Social Security Account Number

card, unless the card includes one of

the following restrictions:

• NOT VALID FOR EMPLOYMENT

• VALID FOR WORK ONLY WITH

INS AUTHORIZATION

• VALID FOR WORK ONLY WITH

DHS AUTHORIZATION

2. Permanent Resident Card or Alien

Registration Receipt Card (Form I-551)

2. ID card issued by federal, state or

local government agencies or

entities, provided it contains a

photograph or information such as

name, date of birth, gender, height,

eye color, and address

2. Certification of report of birth issued

by the Department of State (Forms

DS-1350, FS-545, FS-240)

3. Foreign passport that contains a

temporary I-551 stamp or temporary

I-551 printed notation on a machine-

readable immigrant visa

3. School ID card with a photograph 3. Original or certified copy of birth

certificate issued by a State, county,

municipal authority, or territory of the

United States bearing an official seal

4. Employment Authorization

Document that contains a photograph

(Form I-9)

4. Voter’s registration card 4. Native American tribal document

5. For a nonimmigrant alien

authorized to work for a specific

employer because of his or her status:

a. Foreign passport; and

b. Form I-94 or Form I-94A that has

the following:

(1) The same name as the passport;

and

(2) An endorsement of the alien's

nonimmigrant status as long as that

period of endorsement has not yet

expired and the proposed employment

is not in conflict with any restrictions

or limitations identified on the passport

5. U.S. military card or draft

record

5. U.S. Citizen ID Card (Form

I-197)

6. Passport from the Federated States

of Micronesia (FSM) or the Republic

of the Marshall Islands (RMI) with

Form I-94 or Form I-94A indicating

nonimmigrant admission under the

Compact of Free Association Between

the United States and the FSM or RMI

6. Military dependent's ID card 6. Identification Card for Use of

Resident Citizen in the United States

(Form I-179)

7. U.S. Coast Guard Merchant Mariner

card

8. Native American tribal document

9. Driver's license issued by a

Canadian government authority

SOCIAL SECURITY CARDS ARE NOT ACCEPTABLE AS IDENTIFICATION

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