Intellectual Property Personal Information Update Form

Intellectual Property Personal Information Update Form
Please provide your current and updated contact details to update your information on record for your intellectual property account or case.
Current Full Name
First NameLast Name
Current Email Address
example@example.com
Current Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Current Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
New Full Name (if changing)
First NameLast Name
New Email Address (if changing)
example@example.com
New Phone Number (if changing)
Please enter a valid phone number.Format: (000) 000-0000.
New Address (if changing)
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Preferred Contact Method
Authorization to Update Record
Should be Empty: