Inventor Form
Email address *
State *
Personal Information
First Name *
Last Name *
Address *
City *
State *
Zipcode *
Phone *
Current Employer *
Program Qualifications
Number of People in Household *
Is Your Annual Household Income Below $189,537? *
Is your annual household income below 300% of the U.S. federal government's national poverty guidelines? *
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Invention Eligibility and Information
Have you completed the patent office's pro bono training program? If you have not yet completed it yet, after registration, you can easily update this information when you do. The training program may be found here: *
On how many granted patents have you been named as an inventor (solo or joint inventor)? *
What is the title of your invention? *
Main Business or Technology Sector *
Do you have now, or have had, the assistance of counsel with respect to a patent application? *
Both invention-based requirements relate to the timing of your application with PatentConnect. You cannot (1) have an office action response due within two months, or (2) be within two months of needing to file a non-provisional application. Do you meet these requirements? *
Are there any time lines associated with any office actions to be aware of? If yes, please describe. *
Do you currently have a provisional or non-provisional application filed with the USPTO? If yes, and the application has been published, what is the application number? *
Have you disclosed or published this invention? If yes, when did this disclosure/publication take place? *
Have you assigned your rights in your invention to anyone or any company? *
Have you completed a prior art search? For more information about conducting a prior art search, please refer to this presentation by the US Patent & Trademark Office: *
Please share a brief abstract of your invention. *
Please 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. (500 character limit-letters, punctuation, numbers and spacing)
How did you hear about PatentConnect? *
Why do you wish to protect your intellectual property? *
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