Intellectual Property Clinic

Application for Services

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Client Status*

I understand that this form is being submitted to determine if the Clinic can accept you as a client for the upcoming academic year. You are not a client of the Clinic until a written engagement agreement has been executed.

Yes

Timing*

I understand that the Clinic will review my submission over the upcoming 2 months and expect to hear back from the Clinic during the month of December.

Yes

No Attorney-Client Relationship until Engagement*

I understand that submitting this form to the Clinic does not create an attorney-client relationship. Such relationship will be not be established unless and until the Clinic has agreed to act as your legal counsel and you have executed a written engagement agreement.

Yes

Administrative Fee*

I understand that although the IP Clinic does not charge any service fee for its services, there is an non-refundable administrative fee of $25 for review of the application, and $75 for clients who are accepted. The $25 will be provided at the conclusion of this form (via a credit card entry).

Yes

First Name

Last Name

Email Address

Phone

For those with financial need, the Clinic does note impose any geographic restrictions. However, for those that do not have a financial need, the Clinic only provides services to those within California, with a preference for those within driving distance of San Jose.

Address*

Address line one

Country

State/Province

Postal Code

What is your country of citizenship?*

Country

Although the Clinic wishes to provide services to all, the demand for the Clinic services requires that we impose restrictions on potential clients. For those with a financial need (e.g. not to exceed 150% of federal poverty guidelines, e.g., Federal Poverty Guidelines the Clinic does not impose any geographic restrictions. However, for those that do not have a financial need, the Clinic only provides services to those within California, with a preference for those within driving distance of San Jose.

Do you have financial need?*

Yes

The Intellectual Property Law Clinic provides patent ad trademark services pro bono, meaning that legal time is donated. Although legal services are free, the client will responsible for paying any government fees associated with the pro bono services provided by the Clinic.

Fees can be typically run many hundreds of dollars to more than a thousand dollars for the entire process (List of USPTO Fees). If you cannot pay for such government fees, we, unfortunately, cannot provide legal services to you. If you can pay for such fees, please continue filling out this form.

If you do not have a financial need, please go back to the prior screen and select "no".

Personal Gross Annual Income*

Current Monthly Expenses*

Do any other sources of income exist in your household (e.g. spouse)?*

Yes

If you claim a financial need, the following documents are to be received by the Clinic:

Most recent filed Form 1040, and

Most recent paystubs for all individuals associated with your household income

A member of the Clinic will reach out requesting such information when your application is reviewed.

Who are you contacting us on behalf of?*

Me as an individual

An entity that I own or work for

You selected the last screen that you are submitting this form on behalf of an entity that you own or work for. If this does not relate to you, please go back to the prior screen.

Who will be the main point of contact?

Name of Contact*

Contact's Email*

About the entity

What is the name of the entity?*

Include any entity designation if part of the name (LLC, INC, Corp, etc.)

What type of entity is this?*

Corporation (corp, inc, etc.)

Limited Liability Corporation (LLC)

Partnership (unformed, LLP, LP, etc.)

Sole Proprietorship

Other

List all names and contact information of all partners (name, address, and email)*

Other type of entity: *

What state is this entity formed?*

Please indicate the service(s) you are applying for:*

Patent Service (to protect an invention)

Trademark Service (to protect a logo/name)

Both Patent and Trademark Services

What are you trying to protect?*

Please include the name, design, and other characteristic you are trying to protect.

Identify the goods/services that are associated with your trademark.*

Explain any significance the trademark has and how/why you picked this trademark.*

List any competitors you have, their websites, and how your trademark may differ from theirs.*

The IP Clinic requires that the trademark be "in use" when you submit your application. The USPTO defines "in use" as "using the mark in the sale or transport of goods or the rendering of services in 'interstate' commerce between more than one state or U.S. territory, or in commerce between the U.S. and another country. For good, the mark must appear on the goods (e.g., tags or labels), the container for the goods, or displays associated with the goods. For services, the mark must be used in the sale or advertising of the services." Learn More.

If your trademark is currently not "in use," we invite you to submit your application once such a requirement is satisfied.

Are you currently using the trademark on products or services offered to the public?*

Yes

What was the date you first used it to offer goods/services to the public?*

Select Date ×

If your trademark is currently being used online, which website can it be found?

Be sure to include http:// or https://

Describe how you use (or plan to use) the trademark for your business?*

On what specific products or services do you use (or plan to use) the trademark in relation to?

What is the title of your invention?*

List all inventors*

Legal name, address, telephone and email

Who will own the patent right to the invention?*

Inventor(s): The inventor(s) identified own the patent rights (if there are two or more inventors identified, they will have joint ownership)

Company: A company owns the invention and the patent rights

Provide the legal name of the company.*

Describe the invention.*

include any structure, operation, function, and/or use of the invention.

Do you have any drawings, graphs, and/or sketches of the invention?*

Yes

The IP Clinic will reach out to you requesting such information when your application is reviewed.

Describe any alternative methods, materials, or apparatus of the invention.*

Describe the background of the invention.*

What problem were you trying to solve?

List any prior existing technology/publications/patents which may relate to the invention.*

All of which may be considered prior art.

Identify all of the features of the invention which you believe are new and unique over any prior art?*

Have you publicly disclosed the invention?*

Yes

Provide the date and explain the circumstances.*

Was it a public disclosure? Was a NDA involved? ect

Have you offered the invention for sale to anyone?*

Yes

Do any contracts relate to this matter?*

Including licensing, vendor, and employment agreements

Yes

Explain*

Do you have any questions or information you would like to provide?

Are you willing to be represented by a law student who will be closely monitored by a licensed attorney?*

Yes

I hereby authorize the Intellectual Property Law Clinic at Lincoln Law School of San Jose (hereinafter "Clinic") to verify and make copies of any information provided in this application, for the purpose of determining eligibility for using the Clinic's services.

I hereby authorize the Clinic to use my name and/or the business name, as well as any public information relating to the invention in any marketing materials for the Clinic. I additionally authorize the Clinic to communicate with me by email.

Signature

Today's Date*

Select Date ×

Payment Information

Payment Method*

Credit Card (Stripe)

Enter Card Details*

we do not store any information you provide

By submitting this form, you hereby agree to accept our Terms & Conditions. Your IP address 98.146.121.115 will be stored in our database.

Notes:

Note that although the IP Clinic does not charge any service fee for its services, there is an non-refundable administrative fee of $25 for review of the application, and $75 for clients who are accepted.

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Intellectual Property Clinic

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