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Disclosure Form

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Please fill out the disclosure form below, or click here to download the form as a PDF. There is no charge for submitting this to us and no fees are assessed until an attorney contacts you and you agree to proceed with our services.

All information submitted to our firm is considered confidential legal information, may be privileged, and will not be shared with any third parties.

If you prefer to discuss your invention with an attorney over the phone instead of submitting a written disclosure form, please call (888) 544-6345.

This form is intended to gather information about your invention, and to assist us in providing you with accurate legal services. Please provide responses to the following questions to the best of your ability. Your responses will be used to evaluate the novelty and level of prior art related to your invention.

 Not Sure Patent Novelty Search Provisional Utility Patent Nonprovisional Utility Patent Design Patent Trademark Search Trademark Filing Licensing/Contract Support


After completing and submitting this form a patent attorney will contact you within 24 hours of receiving it to review your invention and the legal process. Payments can be made by credit card over the phone during your initial consultation, by sending you a secure link, or by check. Checks can be mailed to PO Box 967, Mullica Hill, NJ 08062-0967, made payable to IPLRG.

Please feel free to contact us at any time during this process. We can be reached through e-mail at or by phone at (888) 544-6345. We welcome the opportunity to protect your intellectual property, and appreciate your business!


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