Design Patent Intake Form | Au LLC
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Design Patent Intake Form

Design Patent Intake Form

The following Intake Form is designed to elicit, from the Submitter, information sufficient for Au LLC to: (i) perform a conflict check concerning Submitter and those on whose behalf Submitter is completing the form; and (ii) evaluate the Invention as submitter hereinafter describes.  Please answer the following questions as thoroughly as possible.

Form
Title of the Invention:*
Number of Inventors:*

An Inventor is anyone who has contributed to the Invention, and all Inventors are are required to be named in the patent application.  An Inventor must be an individual, but an Inventor may assign a portion or all of his/her interest in the Invention to a non-inventor or a business entity.  Inventor address cannot be a P.O. Box.  

Inventor 1 Name:
Inventor 1 Address:*
Inventor 2 Name:
Inventor 2 Address:
Inventor 3 Name:
Inventor 3 Address:
Inventor 4 Name:
Inventor 4 Address:
If there are more than four (4) Inventors, please identify (at a minimum, name and email address) them here:
Please describe the circumstances surrounding any disclosure of the Invention to someone not involved in developing the Invention, including name of person to whom disclosure was made, the date of disclosure and the place of disclosure (if any):
Please state the earliest date that the Invention was: (1) described in a printed publication; (2) in public use; (3) on sale; or (4) otherwise available to the public (if any):
Provide brief description of the Invention.*
Upload any sketches, prints, photographs, memos, copies of other pertinent development documents, etc.*
Submitter Name:*
Submitter Email Address:*
By clicking Submit, Submitter agrees on his or her behalf or on behalf of the Inventor(s) or other parties in interest that no engagement with Au LLC has been completed and that no attorney-client relationship exists until: (i) Au LLC has completed a conflict of interest check; and (ii) Au LLC has executed an Engagement Letter with the proper parties in interest.*
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