Client Inquiry: Patent Lawyer Request

Thank you for your interest in the Patent Pro Bono Program.

MdVLA has an agreement with the U.S. Patent and Trademark Office to help financially under-resourced inventors apply for patents by arranging free patent attorney and/or patent agent time. Our program serves artists and inventors in Maryland.

Please complete the following application so that our team can review your idea and qualifications. Once your application is accepted, we will contact you to detail the next steps. These next steps may include an intake conversation, patentability search, signing of a Non-disclosure form, and a request to one of our volunteer attorneys/agents for their assistance.

I understand by beginning this application that I have read all the information on the Patent Pro Bono website and acknowledge that placement with an attorney is not guaranteed. I will be prepared, courteous, and respectful of those involved in the Patent Pro Bono program, including Patent Pro Bono attorneys and agents. Failing to do so will result in expulsion from the program and denial of future services.

Please contact our Patent Pro Bono program at info@mdvla.org if you have any questions.

I will abide by the terms and conditions listed above*

I AgreeI Disagree

I acknowledge that I am aware that I am responsible for paying the applicable filing fees associated with my application*

I agreeI Disagree

Salutation

First Name*

Last Name*

Email*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Sex*

Race/Ethnicity

Birthdate*

Date

Are you a veteran?*

YesNo

Select your citizenship status:*

U.S. CitizenLegal U.S. ResidentNone

App Ack resp for fees

Gross annual household income*

Disclosure of Patent – Have you ever disclosed or published the invention?*

YesNoI don't know

Rights of Invention – Have you assigned your rights to your invention to anyone or any company?*

YesNo

Timelines – Please explain any timelines that should be noted.

How many patent applications have you filed?*

What type of patent application are you seeking assistance with?*

Provisional applicationNon-provisional applicationNot sure

What type of patent protection are you seeking?*

Utility patentDesign patentNot sure

If you currently have a published provisional or non-provisional application filed with USPTO, what is the application number? If none, enter "0".*

Have you completed the 1 hour training course offered by the USPTO?*

YesNo

Have you completed a prior art search?*

YesNo

Describe the general technical area of your invention and the general improvement it provides. Do NOT include any confidential or novel features, and do NOT provide any specific details about your invention. Include provision patent number if applicable.*

Please select the type of entity application that most best identifies the party responsible for the application:*

IndividualOrganization

How did you hear about our program?*

Word of MouthGoogle SearchSocial MediaOther

Please share how you heard about MDVLA.

Status

Type of legal issue

Type of Legal Issue