Intellectual Property Dispute Intake Form
Complainant Information
Full Name
Organization (if applicable)
Email
Phone
Disputed Intellectual Property
Type of IP (e.g., Copyright, Trademark, Patent)
Title/Name of Work
Description
Registration Number (if any)
Date of Creation
Details of the Dispute
Name of Alleged Infringer
Description of Dispute
Actions Taken So Far
Additional Information
Additional Comments or Attachments