TRADEMARK INTAKE FORM (IN HOUSE / PARTNER)
Fill out this
complete
intake form for
each
trademark. If there are multiple trademarks (word, logo, etc.), fill out this form multiple times by clicking the intake link again.
All relevant documents/PDFs/images/etc. must be uploaded to this form.
Do not email any answers, portions of any answer, or documents/PDFs/images/etc. everything must be submitted in this form.
All answers MUST be filled out to completion.
If this form is only partially completed, we will notify you and you will need to submit the entire form again.
Email lawyer@analaw.com if you have questions about how to use this form.
In House Counsel or Partner Information
Write your law firm or company name.
Write your full name.
Individual attorney who is preparing this form.
Write your phone number.
Individual attorney who is preparing this form.
Write your email.
Individual attorney who is preparing this form.
Trademark Information
What is the trademark?
Word or Phrase (standard chacters - no font)
What is the word or phrase?
Word or Phrase (stylized font)
Write all the text in the image, including words, letters, punctuation or numbers.
Protect the use of the stylized font logo/design in all possible colors OR in specific colors?
Describe all elements of the image. This should include colors, words, letters, punctuation, and numbers. Be as specific as you can. A perfect description allows the reader to recreate your brand without seeing it.
Upload a black and white image of the trademark.
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Image (logo or design)
Write all the text in the image, including words, letters, punctuation or numbers.
Protect the use of the stylized font logo/design in all possible colors OR in specific colors?
Describe all elements of the image. This should include colors, words, letters, punctuation, and numbers. Be as specific as you can. A perfect description allows the reader to recreate your brand without seeing it.
Upload a black and white image of the trademark.
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Combination of Word + Design (logo or design)
Write all the text in the image, including words, letters, punctuation or numbers.
Protect the use of the stylized font logo/design in all possible colors OR in specific colors?
Describe all elements of the image. This should include colors, words, letters, punctuation, and numbers. Be as specific as you can. A perfect description allows the reader to recreate your brand without seeing it.
Upload a black and white image of the trademark.
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If the trademark has words, is there a capitalization preference? If yes, write the mark exactly how it should be listed on the trademark. Write "N/A" if the mark does not have words/letters.
We typically file in all caps, but this is not a requirement.
Does the mark contain any non-English language?
Does the mark contain any non-Latin characters?
Does the mark contain a name, likeness, portrait, or signature of a living human?
Have you, another attorney/firm, or the owner (or anyone else) previously filed a trademark application for this mark?
Point of Contact Information
Who will we be communicating with at the company/client's company/your firm regarding the trademark?
Contact information
Prefix
First name
*
Middle name
Last name
*
Emails
Address
*
Type
Upon submission, a copy of this form will be sent to the primary email.
Work
Home
Other
Primary
Default email false
Add email
Addresses
Street address
Country
Australia
Canada
United Kingdom
United States
---------------
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, The Democratic Republic of the
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czechia
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russian Federation
Rwanda
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Türkiye
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
City
State/Region
Alaska
Alabama
Arkansas
American Samoa
Arizona
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Guam
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Michigan
Minnesota
Missouri
Northern Mariana Islands
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
United States Minor Outlying Islands
Utah
Virginia
Virgin Islands, U.S.
Vermont
Washington
Wisconsin
West Virginia
Wyoming
Province/Region
Zip/Postal code
Address type
Work
Billing
Home
Other
Primary
Default address false
Add address
Phone numbers
Phone number
Type
Work
Home
Mobile
Fax
Pager
Skype
Other
Primary
Add phone number
Trademark Ownership Information
What type of entity is the owner?
Individual
What is the full legal name of the Individual Owner?
Which state is the Individual Owner a resident of?
Is the Individual Owner a U.S. citizen?
LLC
What is the full legal name of the LLC?
Which state is the LLC organized in?
Does the LLC use any alternate name, alias, or trade name?
Partnership
What is the full legal name of the Partnership?
What state is the Partnership formed in?
Does the Partnership use any alternate name, alias, or trade name?
List the names and residency (state) of all related parties, including: General Partners, Active Members, and Individuals.
Are all related parties citizens of the United States?
Limited Partnership
What is the full legal name of the Limited Partnership?
Which state is the Limited Partnership formed in?
Does the Limited Partnership use any alternate name, alias, or trade name?
List the names and residency (state) of all related parties, including: General Partners, Active Members, and Individuals.
Are all related parties citizens of the United States?
Corporation
What is the full legal name of the Corporation?
What state is the Corporation incorporated in?
Does the Corporation use any alternate name, alias, or trade name?
Joint Venture
What is the full legal name of the Joint Venture?
What state is the Joint Venture formed in?
Does the Joint Venture use any alternate name, alias, or trade name?
List the names and residency (state) of all related parties, including: General Partners, Active Members, and Individuals.
Are all related parties citizens of the United States?
Sole Proprietorship
What is the full legal name of the Proprietor?
Which state is the Sole Proprietorship formed/operating in?
Which state is the Proprietor a resident of?
Is the Proprietor a U.S. citizen?
Does the Sole Proprietorship use any alternate name, alias, or trade name?
Trust
What is the full legal name of the Trust?
Which state was the Trust formed in?
What is the full name of the Trustee that has authorization to sign on behalf of the Trust?
Does the Trust use any alternate name, alias, or trade name?
Estate
What is the full legal name of the Estate?
Which state is the Estate formed/operating in?
What is the full name of the Executor that has authorization to sign on behalf of the Estate?
Does the Estate use any alternate name, alias, or trade name?
Trademark Owner Address
What is the full address of the trademark owner if different than the Point of Contact's address? Type "Same" if it is the same.
Include Street, Unit/Suite No., City, State, and Zip.
Is the address a physical address? The USPTO does not accept PO Boxes.
Yes, this is a physical address.
No, this is a PO Box - virual addresses services are needed.
Type "Yes" to confirm you would like to purchase a virtual address service (starts at $200).
No, this is a PO Box - hidden address services (use Ana Law's office address) are needed.
Type "Yes" to confirm you would like to purchase a hidden address service ($75 per trademark class).
This address will be public and listed on the trademark.
I understand.
There are privacy concerns - virtual address services are needed.
Type "Yes" to confirm you would like to purchase a virtual address service (starts at $200).
There are privacy concerns - hidden address services (use Ana Law's office address) are needed.
Type "Yes" to confirm you would like to purchase a hidden address service ($75 per trademark class).
Trademark Use Information
Describe ALL of the goods and/or services that may be offered with this brand now AND/OR in the future. Specify exactly which goods/services are being used now and which ones will be used in the future.
THIS IS VERY IMPORTANT!!! Be as detailed as possible!!
Is the owner currently selling/using/promoting any goods and/or services in the United States using this trademark?
Yes
When did the owner begin to use the trademark in connection with the goods/services? Provide a month and year.
Is the owner using the trademark in connection with all of the goods and services, or only a portion of them? Provide full details.
Upload pictures/screenshots of commerical use of the brand in connection with the products/services you sell. This can be a business card, hang tag, website, etc.
For more examples, visit analaw.com/specimen
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If this evidence is a website, write the exact URL(s) here.
No
When does the owner plan to start using this trademark in connection with goods or services? Provide an approximate month and year. If you are not sure, write "unknown" below.
If evidence of commercial use of the brand is not filed with the application, it will need to be filed later (additional fees apply). Type "Yes" to confirm you understand that there is a fee for submitting the evidence later.
IMPORTANT!!
I understand that if I do not give evidence of commercial use of the brand in this at this time (WITH this Intake Form), there will be a fee to review and/or submit/file the evidence later.
Yes
Type "Yes" to confirm that you have reviewed analaw.com/specimen to see examples of acceptable evidence.
Type your full name to confirm that you understand that if evidence is not submitted NOW (IN THIS INTAKE FORM), a $50 review fee for each category (each class) of evidence that must be reviewed by Ana Law after this intake form is submitted (but BEFORE filing the application).
Type your full name to confirm that you understand that IF evidence is NOT submitted BEFORE filing your trademark application, the owner (or you) will pay the SOU fees for EACH category of evidence that must be submitted AFTER filing.
Type your full name to confirm that you understand that if evidence is not submitted BEFORE filing your trademark application, the owner (or you) will pay the SOU fees for each category (class) of evidence that must be submitted AFTER filing.
I understand that trademarks are filed in different categories of goods/services. There are 45 categories (classes). If more classes (beyond the first) are required, additional fees may apply.
See analaw.com/class for a list of the 45 classes
Yes
Type "Yes" to confirm that you understand there are additional service fees and USPTO fees for additional classes (beyond the first).
Global Trademark Protection
Is the owner currently selling any goods or services outside of the United States using this trademark?
Yes
In which countries?
When did the owner begin to use the trademark in connection with the goods/services? Provide a month and year.
Is/was the owner using the trademark in connection with all of the goods and services, or only a portion of them?
No
Does the owner plan to expand the brand outside of the USA?
Does the owner have any trademark application and/or registration for this trademark in another country (outside the USA)?
Yes
In which country or countries?
Upload all foreign application documents and/or registration certificates.
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No
Would the owner (or you) like to be notified of the 6 month foreign filing deadline? This will allow the owner to keep the priority date if filed in another country within 6 months of filing the USA application.
Yes
No
Office Actions / Next Steps
I understand that after the application is filed, there are many additional steps to secure the trademark registration. Any additional services (such as responding to refusals, responding to oppositions, or additional legal advisement) will be billed as additional/separate services.
Yes
Type your full name to confirm that you understand that additional legal advice/services that the Ana Law Team provides are not included and will be billed separately.
Trademark Copying Information
Are you (or the owner) aware of anyone else that is currently using the brand (or a similar brand)?
Yes
When did the owner (or you) become aware of someone else using the brand (or a similar brand)?
Provide the name of the individual(s)/business/account that is currently using the brand (or a similar brand).
Provide a screenshot of the other party's use of the brand (or a similar brand).
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Provide a direct URL (if possible) to the 3rd party who is using the brand (or a similar brand). This URL should show the similar brand itself.
When the other party started using the brand? List an approximate date if known.
Which goods/services is the other party selling/promoting?
Are you aware if the other party has a trademark registration or trademark application?
Upload ALL documents related to the copying, including a PDF of all email communications, Cease & Desist Notices, screenshots of DM communications, etc. THIS IS MANDATORY.
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No
Attorney Authorization
Is Ana Juneja authorized to prepare and sign the trademark application documents?
Yes - Ana Juneja should sign and file under Ana Law LLC.
docket@analaw.com will be the the main email address. Are there additional email addresses you would like listed?
Yes - Ana Juneja should sign and file under my law firm.
Write the complete business name (exact spelling/punctuation) of the law firm.
Include LLC, L.L.C., PLLC, P.L.L.C., PC, P.C., etc.
Write the complete address of the law firm.
Include street, unit/suite number, city, state, zip.
Type your full name to confirm you agree to recieve all paper mail at this address and will notify Ana Juneja of it's delivery within 5-7 business days.
docket@analaw.com will be the the main email address. Are there additional email addresses you would like listed?
Yes - Ana Juneja should sign and file under our company.
Write the complete business name (exact spelling/punctuation) of the company.
Include LLC, L.L.C., Inc. Corp. Corporation, etc.
Write the complete address of the company.
Include street, unit/suite number, city, state, zip.
Type your full name to confirm you agree to recieve all paper mail at this address and will notify Ana Juneja of it's delivery within 5-7 business days.
docket@analaw.com will be the the main email address. Are there additional email addresses you would like listed?
No
Type your full name to confirm you understand the Ana Law Team will not monitor the trademark after filing.
Type your full name to confirm you understand we will send you the OBJ file for this trademark and we will NOT file this trademark application on your (or the owner's) behalf.
Type your full name to confirm you understand that prepared OBJ file will only be valid for 48 hours.
Type your full name to confirm you understand that if you do not review and file the OBJ file within the 48 hours the link is live, a $200 per class fee will apply if the Ana Law Team has to re-prepare the OBJ file.
Which email should we send the prepared OBJ file to?
Truthfulness Confirmation/Declaration
I confirm that the information I provided in this form is correct and true to my knowledge and belief.
Yes
Type your full name to confirm that you understand that we rely on your honest answers to prepare the trademark documents.
I confirm that I have provided full and complete answers to this form.
Yes
Type your full name to confirm that you have provided full and complete answers to this form (to the best of your ability).
I confirm that I have authorization (if trademark owner is you, your company, your client, employer, another party, etc.) to complete and submit this form.
Yes
Type your full name to confirm that you have authorization to submit this intake form on behalf of the trademark owner.
I confirm that I will review questions, communications, emails, documents, etc. that the Ana Law Team will send and provide substantive feedback/answers within 2-5 business days.
Yes
Type your full name to confirm that you (or the owner/representative) will timely respond to the Ana Law Team's communications and that if excessive reminders are needed, the case will be paused and a $500 re-start fee will apply.
We will provide the owner (or you) with up to 4 reminders at no charge. 5 or more reminders are considered excessive.
Type your full name to confirm that you understand that if the Ana Law Team does not receive a response from you (or the owner/representative) to our communications about legal matters (no complete instructions; no answers to all of our questions; no response to our emails; not submitting the requested information/documents; etc.), then Ana Law will take no further action on your case(s).
Type your full name to confirm that you understand that (in some circumstances) if the Ana Law Team takes no further action on the case(s) due to non-responsiveness, the owner's legal rights may be affected (for example: the trademark application may go abandoned, additional late fees may apply; we may need to file special petitions to excuse missing deadlines, etc.).
THANK YOU
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