Design Patent Invention Disclosure Form

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Descriptive Invention Title* This field is required.The patent title should be descriptive of the invention to which the claims are directed. If the title is not considered descriptive, the Patent Office Examiner may require a new title. The patent title must not exceed 500 characters in length and must be as short and as specific and descriptive as possible. The title should be one that is easily searchable using a few keywords during a patent search. Example Self-Cleaning Robotic Vacuum with Integrated Air Purification System
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Inventor 1 Details* This field is required.
Inventor 1 Name
Inventor 1 Address
City
Zip Code
Inventor 1 Mobile Phone
Inventor 1 Email
3
Inventor Name (For OneDrive)
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Inventor 2 DetailsLeave blank if this is not applicable
Inventor 2 Name
Inventor 2 Address
City
Zip Code
Inventor 2 Mobile Phone
Inventor 2 Email
5
Inventor 3 DetailsLeave blank if this is not applicable
Inventor 3 Name
Inventor 3 Address
City
Zip Code
Inventor 3 Mobile Phone
Inventor 3 Email
6
1c. Owner* This field is required.Do the inventor(s) that you listed in the previous questions own the patent rights to this invention? If you answered "No," please identify the owner of the invention below including the state/country of organization for the company along with the company's mailing address
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1d. Prior Public Disclosure* This field is required.Identify any past use, sale, display or publication of the invention (include dates). Important: Please be aware that, under 35 U.S.C. 102(a)(1), if your design was publicly disclosed (e.g., through sale, publication, or any other public means) more than one year prior to filing your patent application, you are not eligible for a design patent. If your design has been publicly disclosed, please contact The Rapacke Law Group to discuss your options.
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2f. New Features* This field is required.Identify all novel features of the design of your invention.
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Does your company qualify for micro-entity status with the USTPO?* This field is required.The "Maximum Qualifying Gross Income" for purposes of paying any eligible fee at the micro entity discount rate is currently $206,109. Click here to learn more about qualifying for micro-entity status.
YESNO
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Please click here to download the Certification of Micro-Entity Status form. After downloading please fill in your information, print, sign, scan and upload below.
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Do you want to file an expedited design patent?* This field is required.This process is quicker than the standard one, allowing your design to be reviewed and potentially patented more rapidly. Please note that this involves an additional fee of $500 that will be paid directly to the United States Patent and Trademark Office (USPTO).
YESNO
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Person Submitting The Form* This field is required.
First Name
Last Name
Email
Business Phone
Cell Phone
Mailing Address
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Are you the original inventor and designer of this product?* This field is required.
YESNO
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Was this product purchased from AliExpress or any similar site that sells bulk manufactured goods from overseas?* This field is required.
YESNO
15
Please upload any CAD or 3D drawings you have here.
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Please upload front view images of the design here.* This field is required.
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Please upload back view images of the design here.* This field is required.
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Please upload left side view images of the design here.* This field is required.
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Please upload right side view images of the design here.* This field is required.
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Please upload top view images of the design here.* This field is required.
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Please upload bottom view images of the design here.* This field is required.
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Please upload perspective images of the design here.* This field is required.Off center view of your design so we can see it in perspective.
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I confirm that the details in this invention disclosure form are accurate.* This field is required.Please draw your signature below.
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