PATENT INTAKE FORM
Thank you for choosing Ana Law LLC to help you protect your idea.
The answers you submit are confidential will be used to evaluate if you have patentable subject matter and/or to help us gather information about your invention we need to draft your patent application.
You must fill out a
complete
intake form for
EACH
idea. If you have multiple ideas, you can fill out this form multiple times by clicking the intake link again (analaw.com/patentform).
ALL answers MUST be filled out to completion.
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.
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.
Do not submit answers to this form via email
.
Point of Contact Information
Who will we be communicating with regarding the patent application?
Contact information
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Type
Upon submission, a copy of this form will be sent to the primary email.
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Addresses
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Australia
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Afghanistan
Åland Islands
Albania
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Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
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Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
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Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
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Burkina Faso
Burundi
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Cameroon
Canada
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Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
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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
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Finland
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French Guiana
French Polynesia
French Southern Territories
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Georgia
Germany
Ghana
Gibraltar
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Guadeloupe
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Guatemala
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Guinea
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Guyana
Haiti
Heard Island and McDonald Islands
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Hungary
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Indonesia
Iran
Iraq
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Isle of Man
Israel
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Libya
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Mayotte
Mexico
Micronesia, Federated States of
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Namibia
Nauru
Nepal
Netherlands
New Caledonia
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Nigeria
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Panama
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Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
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Saint Pierre and Miquelon
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Serbia
Seychelles
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Slovakia
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Somalia
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South Georgia and the South Sandwich Islands
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
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Switzerland
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Taiwan
Tajikistan
Tanzania
Thailand
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Türkiye
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Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
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Uruguay
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Invention Ownership
Are you the inventor of the invention?
Yes
Did you work with anyone to come up with your invention? If yes, please list full name(s) of person(s).
Are you (or any of the other inventors) under an NDA?
No
Who is the inventor?
What is your relation to the inventor?
Have you told anyone else about your invention?
Yes
List the name of EVERY person you have told about your invention (including spouse, family members, friends, manager, co-workers, etc.)
How did you tell any/all of these people about your invention (verbal, blog post, social media post, text, email, DM/PM, presentation at a conference, formal publication, etc.)?
Is anyone that you told about your invention under an NDA?
No
Upload any/all NDAs or other contracts you (or anyone else) have signed that protect disclosure of your invention.
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Are you under an obligation to assign your invention to your employer?
Yes
No
I'm not sure
Did you use company resources to develop your invention? If yes, describe what resources you used.
Upload any/all employment agreements or other document that requires you to assign your patent rights to a company (if it exists).
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What type of entity will be the owner (applicant) of the patent application?
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?
Invention Information
Title of your Invention
What day did you come up with your invention (ball park)?
What problem does your invention solve (how it impacts products, business, and/or customers)?
For example... Does your invention reduce cost of making? Or amount of materials used? For computer software, does your invention improve the function of hardware or reduce the load on the memory?
Existing Solutions
Are there any existing solutions for the problem your invention solves? List all known (no need to research) references for your invention.
Attach any sketches, drawings, photos, reports, etc. of any known (no need to research) existing solutions.
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Why is your invention helpful or different to these known solutions?
How was the problem or issue handled or solved before your invention?
Invention Details
Describe your invention step-by-step. What does it actually do?
Detailed Description
Attach a drawing and/or flow chart of your invention. This is MANDATORY.
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Attach any/all pictures and/or videos of your invention. (Optional)
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Attach any/all reference sheets, diagrams, presentations, etc. of your invention. (Optional)
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What are the attributes that make your invention different and unique compared to any (known) existing solutions?
What are the significant parts of your invention? Describe all of the parts necessary to make your invention work.
Significant Parts
List any known competitors. What products and/or systems of theirs are closest to your invention?
Closest Known Products
Outline the specific items you want to protect. Start from general and go to specific. If it is a method/process, what are the specific steps/components of the method/process?
Proposed Claims
Identify the best way of implementing your invention. Describe all the components or steps involved.
Does your invention satisfy any Government (NHTSA, EPA) or industry standards (SAE for example)? If yes, describe.
Legal Compliance
How would your invention be manufactured? List out the steps of manufacturing the invention or manufacturing a product incorporating your invention.
Manufacturing
Could your invention (or the product incorporating your invention) be remanufactured? What steps would need to be taken to do so?
Design Around
Could your invention be used in products beyond what you originally envisioned?
Invention Field
Invention Protection
What countries are you planning on selling/using your invention in?
What countries are you planning on manufacturing your invention in?
What countries are you planning on importing or exporting your invention to or out of?
What countries do your competitors operate in?
Confirmations
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 your patent documents and advise you appropriately.
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 invention owner is you, your company, employer, another party, etc.) to complete and submit this form.
Yes
Type YOUR FULL NAME to confirm that you have authorization to submit this form.
How did you hear about our firm?
Instagram
TikTok
LinkedIn
YouTube
Super Lawyers website
State Bar website
Google
Client Referral
Please list the name of the person who referred you.
Attorney Referral
Please list the name of the person who referred you.
Podcast
Which podcast?
Which episode?