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Complete sections 1 through 4 of USPTO Form 1611. 2. Sign and date the form. 3.310 Application for insignia. 280.310, Application for insignia. After a manufacturer submits a complete application for recordal, the USPTO issues a Certificate of Recordal. Submit one original of this document. If applicant is a corporation, list state of incorporation: 3. Full street address and P.O. Box address, city, state, and zip of applicant: 4. For assistance in completing this form, contact your county tax assessor-collector. Get Insignia Support.