Design Patent Disclosure Form

Design Patents help protect the unique shape, look and form of your products that are independent of the function of the product. A product design’s “look and feel” are typical subjects for design patents. Lloyd & Mousilli has directly been involved with the successful prosecution of several design patents varying from fashion and clothing accessories, to custom cases for electronics. It is critical to remember that design patents focus on the ornamental design of a product.

Design patents provide protection for 15 years and are not subject to maintenance fees. During those 15 years, it is advised that you monitor your patent for potential infringement.

Our team will draft your design patent based off of the responses provided to these questions. You are responsible for ensuring accuracy of the information that you provide to us. We do not take any responsibility for any incorrect information that you may provide, so it is critical that you evaluate your responses carefully. Once you have completed this form, a member of our staff will review it for final approval.

Please focus on the unique design as you work through the following questions to help us better understand the work you are seeking to protect. Should you have any questions, please do not hesitate to contact our office.

Contact Information

Full Name *

Name of Co-Investors

Company Address *

Address *

Phone *

Email *

Description of Product

What is the title of the product? *

What is the product’s country of origin? *

Please upload any photographs, animations, demos or drawings of the product design to the shared folder delivered to your email. *

Is there a 3-D prototype of the design? If applicable, please upload here.

Describe the design, in detail, by emphasizing any specific surface, texture, views, exterior and interior variations. *

If applicable, what does the interior look like?

What materials were used for the completion of this product? *

Are there features that cannot be seen in the photograph or drawings provided? What kind of shading or views may make these features visible? *

Describe, in detail, how your design is different from what is already on the market. *

Is color important to this specific product? Why or why not? *

Is the product related to or would be part of a current or future design? If so, which product? *

Function of Product

What is or would be required to perform or use your product? *

Is there any additional testing that would need to be complete before you are sure that the product would work properly? *

What is the “best” version or variation of your design if more than one option is available? *

What are the presently contemplated modifications, alterations, improvements or extensions of the design? *

Have you created a prototype of the product? Please provide an estimated date of completion. *

Will users of the design be using the product? Who is its target audience? *

What is the closest design similar to your product? Please provide references if applicable. *

Was this product created in the course of work for a company or university? What department or team is associated with the invention, if any? *

Does the product involve a governmental entity or is subject to export control? *

Have you shown your product in public? Who has knowledge of its existence? *

Have you published anything about the design? (for example, in a journal article, in a handout at a demonstration) If so, when and where? *

Have you offered the product for sale, such as in a Statement of Work? *

Which companies or users would be interested in using or obtaining your design? *

What other information about your product would be useful to know? *

I hereby affirm that all of the above information is correct to the best of my knowledge:

Date Signed *

Signature *

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