Where inventions are brought to life™

Official Record of Invention Form

The United States is a "First to Invent" country. A First to Invent country means that the person who proves that he or she conceived of the invention first, and worked diligently towards filing a patent application, has priority rights to the invention.

Establish your invention’s Official Date of Conception by filling out this form.

Be it known to all that:

First Name*
Last Name*
Second Inventor:
First Name*
Last Name*
Third Inventor:
First Name*
Last Name*
Fourth Inventor:
First Name*
Last Name*
Fifth Inventor:
First Name*
Last Name*

 

Address*
City*
State/Province*
Zip*
Country
Best Phone*
( ) -
Email*
has invented the Invention now known as:*
(50 Characters Max)
What is your Invention idea?*
(255 Characters Max)

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Have you made a model?*
Yes No

If not, can you make a model?*
Yes No


Statement Of Complete Confidentiality

All information provided herein, or disclosed to Patently Brilliant, LLC in any other manner at any time, is protected without exception by this Statement of Complete Confidentiality under applicable law. No one associated with Patently Brilliant shall knowingly disclose the invention idea nor attempt to compete with Inventor.

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