Patent Intake Form

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On what date (specifically) did you conceive of your invention?
On what date (specifically) did you first disclose to anyone?
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Inventor #4
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If there is more than one inventor, who is the first named inventor?
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Do you plan to publicly use or sell the invention soon?*
Are you aware of any information (e.g. prior patents or printed publications) that may materially affect the patentability of the described invention?*
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Inventor #1

Inventor #2

Inventor #3

Inventor #4

Do you wish for the application to publish? (Patent applications automatically publish eighteen (18) months after filing.)

Location

Melbourne, Florida