Business/Non-Profit Application

| Resume a previously saved form
Resume Later

In order to be able to resume this form later, please enter your email and choose a password.

Password must contain the following:
  • 12 Characters
  • 1 Uppercase letter
  • 1 Lowercase letter
  • 1 Number
  • 1 Special character

Page 1


STOP
This application is for businesses or non-profits only. If you are a solo inventor, please use the solo inventor application at Solo Inventor Application.














Organization Information








STOP
If you have not taken significant steps toward forming the non-profit, you are not qualified to move this application forward as a non-profit organization. Consider applying as a solo inventor or small business instead.
STOP
Non-profits with a budget greater than $1 million dollars do not qualify for this program. 

Georgia PATENTS will not place matters involving research institutions or institutions of higher learning.






We want to understand what your business is, how long if has existed, and why you need our help.





STOP
Georgia PATENTS can only assist non-profits/small businesses formed in Georgia, North Carolina, South Carolina, or Tennessee. Please visit the USPTO Pro Bono Assistance website to find a local program in your state.

STOP
Georgia PATENTS cannot help any non-profit or small business that has already agreed to an assignment of patent rights. You will need to seek the assistance of a paid attorney.

Page 2

Inventor Information


STOP
Only Non-Profits/Small Business may use this application. If you are a solo inventor, you must use the Solo Inventor Application at Solo Inventor Application.
Inventor 1













If you are unsure, please go back to http://gapatents.org/inventors and check the poverty level chart.
STOP
To qualify for Georgia PATENTS as a "small business," every listed inventor must make less than 300% of the poverty rate. As such, your business does not qualify for pro bono assistance through our program. We wish you all the luck with your invention.  You may want to review the resources on the USPTO site for filing pro se (on your own) https://www.uspto.gov/patents-getting-started/using-legal-services/pro-se-assistance-program


We cannot accept cases where any inventor has been listed on more than 4 previous patents/pending applications unless the inventor has already assigned the patent(s) to a previous employer. You will need to demonstrate such an assignment during the intake appointment.


If you completed the online training, you will need to bring/send a copy of the confirmation to the intake for verification.
If you have not yet completed the training requirement, you will be required to complete it before placement in our program.
Inventor 2













If you are unsure, please go back to http://gapatents.org/inventors and check the poverty level chart.
STOP
To qualify for Georgia PATENTS as a "small business," every listed inventor must make less than 300% of the poverty rate. As such, your business does not qualify for pro bono assistance through our program. We wish you all the luck with your invention.  You may want to review the resources on the USPTO site for filing pro se (on your own) https://www.uspto.gov/patents-getting-started/using-legal-services/pro-se-assistance-program


We cannot accept cases where any inventor has been listed on more than 4 previous patents/pending applications unless the inventor has already assigned the patent(s) to a previous employer. You will need to demonstrate such an assignment during the intake appointment.


If you completed the online training, you will need to bring/send a copy of the confirmation to the intake for verification.
If you have not yet completed the training requirement, you will be required to complete it before placement in our program.
Inventor 3













If you are unsure, please go back to http://gapatents.org/inventors and check the poverty level chart.
STOP
To qualify for Georgia PATENTS as a "small business," every listed inventor must make less than 300% of the poverty rate. As such, your business does not qualify for pro bono assistance through our program. We wish you all the luck with your invention.  You may want to review the resources on the USPTO site for filing pro se (on your own) https://www.uspto.gov/patents-getting-started/using-legal-services/pro-se-assistance-program


We cannot accept cases where any inventor has been listed on more than 4 previous patents/pending applications unless the inventor has already assigned the patent(s) to a previous employer. You will need to demonstrate such an assignment during the intake appointment.


If you completed the online training, you will need to bring/send a copy of the confirmation to the intake for verification.
If you have not yet completed the training requirement, you will be required to complete it before placement in our program.
Inventor 4













If you are unsure, please go back to http://gapatents.org/inventors and check the poverty level chart.
STOP
To qualify for Georgia PATENTS as a "solo inventor" or "small business," every listed inventor must make less than 300% of the poverty rate.


We cannot accept cases where any inventor has been listed on more than 4 previous patents/pending applications unless the inventor has already assigned the patent(s) to a previous employer. You will need to demonstrate such an assignment during the intake appointment.


If you completed the online training, you will need to bring/send a copy of the confirmation to the intake for verification.
If you have not yet completed the training requirement, you will be required to complete it before placement in our program.

Page 3

Invention Information

e.g. Small Sprocket, Clothing Design, Method for Making Widgets






Do NOT provide details. An example of a GOOD description is "the invention involves an improvement to X aspect of Y thing." An example of a BAD description is "by following A, B, C steps, we have achieved X improvement on Y thing."

Please bring a copy of the assignment(s) to your intake appointment.
We may require each inventor to assign these rights prior to placement with an attorney and will discuss the matter during the intake.
Prior Art




STOP
You are required to complete a prior art search before applying to the program. If you need assistance conducting your search, please contact the USPTO Resource Center at Georgia Tech at 404-385-7185.

Page 4

By submitting my electronic signature below, and by submitting this application, I am making the following representations:

  1. The information provided by me in this application is, to the best of my knowledge, compete and accurate.
  2. I understand that submitting false or misleading information may result in delay or denial of services.
  3. I understand that misrepresenting the number or identity of inventors, the state of the prior art, or my qualification for micro-entity status to the United States Patent and Trademark Office may constitute fraud, and could result in the invalidation of the patent or application.
  4. I will notify the Georgia PATENTS program if any of the information in this application materially changes prior to placement with an attorney, especially if any inventor's income should suddenly increase.
  5. I have not shared any confidential details of my invention with the Georgia PATENTS program.
  6. I understand that continuation in the program is at the discretion of the program administrator, and that filling out this application does not entitle me to any services.
  7. I agree and understand that this application does not create an attorney-client relationship between any named inventor or myself and any individual attorney, the Georgia PATENTS program, or Georgia Lawyers for the Arts.
  8. I understand that the matter may be placed with either a patent attorney or patent agent, and that this person's representation may be limited to the filing of a patent application for the invention referenced in this application.
  9. I understand that GA PATENTS' scope of services are limited to the placement of cases for filing patent applications and that if I have another legal issue, including but not limited to setting up a corporation prior to placement with a patent attorney/agent, GA PATENTS will not handle the placement of these issues. I further understand that while my assigned attorney may take on these additional matters, they may charge additional fees for these services.
  10. I understand I am responsible for paying an administrative fee prior to placement with a volunteer patent agent or attorney, and I understand that the applicant remains responsible for the payment of all necessary governmental fees and ancillary fees, e.g. draftsmen, when necessary.
Signature


Place your types signature between two "/" marks.

After submitting this application, the program administrator will review the details and will attempt to contact you within a reasonable period of time.  Please only call the office or e-mail for confirmation if you do not receive an automated confirmation e-mail.  Keep in mind that the office is usually closed on and around major holidays, and delays are likely during these periods of the year.
Please review your application carefully before submitting. Submitting your application multiple times will cause unnecessary delays. We ask you to please be certain of your responses before pressing the submit button. If you need to make material changes after hitting submit, please e-mail us at patents@gapatents.org or call our office at (404) 873-3911, but DO NOT submit and then go back to make changes and submit again.

Georgia PATENTS is a program of Georgia Lawyers for the Arts, Inc., a Georgia non-profit and was created in association with the United States Patent and Trademark Office, the State Bar of Georgia, and the Atlanta Bar Association.  Georgia Lawyers for the Arts is the sole entity responsible for administration of this program.

"GLA," the GLA Logo, and the Georgia PATENTS logo are service marks of Georgia Lawyers for the Arts.  The GLA Logo and Georgia PATENTS logo are © Georgia Lawyers for the Arts.

Save my progress and resume later | Resume a previously saved form

Contact Information