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NOTE: This form is not intended as legal advice.  Nor is it a solicitation for engagement.  Rather, this

form is supplied as a convenience for those seeking legal assistance from any patent attorney.

 

INVENTION DISCLOSURE FORM FOR DESIGN PATENT APPLICATION

(ornamental design for article of manufacture)

 

Instructions: Provide the following information and promptly confer with your

attorney to develop a proper course of action.

 

Descriptive Title of Article: ____________________________________________

Brief Reference to Design Features: ____________________________________

Inventor: _________________________ Tel/Fax/Email ____________________

Address: __________________________________________ Citizenship: _____

(Include same information for co-inventors if applicable)

Employer: ________________________________________________________

Address: _________________________________________________________

 

1. Form - How is invention constructed?  What does it look like?

Attach photos or drawings: ___________________________________________

_________________________________________________________________

_________________________________________________________________

 

2. Purpose - What does invention do? What is it for? What structural features are

essential/functional? ________________________________________________

_________________________________________________________________

_________________________________________________________________

 

3. Ornamentation - What non-functional elements of the design and shape are

being claimed as novel and non-obvious? ________________________________

_________________________________________________________________

 

4. The shape and design was first conceived on (date): _____________________

 

5. A prototype was completed and demonstrated on (date): __________________

 

6. The final article design was disclosed, advertised or offered for sale on: ______

_________________________________________________________________

Additional Patent Information:

   

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