Intellectual Property Assignment Intake Form
1. Name of Assignor (Current IP Owner)
2. Name of Assignee (Recipient)
3. Type of Intellectual Property
Patent
Trademark
Copyright
Trade Secret
Other
4. IP Registration/Application Number (if applicable)
5. Title/Description of the IP
6. Date of Assignment
7. Country or Jurisdiction
8. Are there any co-owners?
Yes
No
9. Terms/Special Instructions
10. Contact Information