Free Legal Intellectual Property Infringement Questionnaire

Your Name

Please enter your full name.

Email Address

Enter a valid email address to contact you.

Phone Number

Provide your contact number including country code.

Address

Provide your current residential address.

Preferred Method of Contact

Select your preferred method for us to reach you.

• Phone

• Email

• Mail

Awareness of Infringement

Have you been made aware of any infringement of your intellectual property rights?

• Yes

• No

Type of Infringement

What type of intellectual property is being infringed?

• Patent

• Trademark

• Copyright

• Design

Description of Infringement

Please describe how your intellectual property is being infringed.

Locations Affected

In which geographical locations are you experiencing this infringement?

• Local

• National

• International

Infringing Party

Do you know the party responsible for the infringement?

• Yes

• No

Contact with Infringing Party

Have you initiated any contact with the infringing party?

• Yes

• No

Legal Representation

Do you have legal representation for this case?

• Yes

• No

Evidence Gathering

Have you gathered any evidence to support your claim?

• Yes

• No

Desired Outcome

What outcome are you seeking from this process?

• Cease the Infringement

• Monetary Compensation

• Public Apology

• Other (Please specify)

Additional Information

Provide any additional comments, notes, or information that may be relevant.

Signature

Please sign to confirm the information provided is accurate.

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