Solo Inventor Application

| Resume a previously saved form
Resume Later

In order to be able to resume this form later, please enter your email and choose a password.

Page 1

This application is for solo inventors only. If you are a business (more than 1 inventor) or a non-profit, please use the business application at Non-Profit/Small Business Application.

Demographic Data
PTO 450 (Rev.4/20) Approved for use through 06/30/2023. OMB 0651-0082
U.S. Patent and Trademark Office: U.S. DEPARTMENT OF COMMERCE
Under the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless it displays a valid OMB control number

To aid us in applying for grants, we ask that you answer the following Demographic Data questions.
This information is kept in confidence and only used in the aggregate.

For grant purposes

For grant purposes



Georgia PATENTS can only assist inventors residing in Georgia, North Carolina, South Carolina, and Tennessee. Please visit the USPTO Pro Bono Assistance website to find a local program in your state.
Financial Information

If you are unsure, please go back to and check the poverty level chart.
To qualify for Georgia PATENTS as a "solo inventor" you must make less than 300% of the poverty rate. As such, you do not qualify for pro bono assistance through our program. We wish you all the luck with your invention.  You may want to review the resources on the USPTO site for filing pro se (on your own)
Inventor Information

We cannot accept cases where any inventor has been listed on more than 4 previous patents/pending applications unless the inventor has already assigned the patent(s) to a previous employer. You will need to demonstrate such an assignment during the intake appointment.

If you completed the online training, you will need to bring/send a copy of the confirmation to the intake for verification.
If you have not yet completed the training requirement, you will be required to complete it before placement in our program.
Only Solo Inventors may use this application. If you are not the solo inventor or 2 or more inventors will appear on the patent, you must use the Small Business/Non-Profit Application at Non-Profit/Small Business Application.

Page 2

Invention Information

e.g. Small Sprocket, Clothing Design, Method for Making Widgets

Do NOT provide details. An example of a GOOD description is "the invention involves an improvement to X aspect of Y thing." An example of a BAD description is "by following A, B, C steps, we have achieved X improvement on Y thing."
Prior Art

You are required to complete a prior art search before applying to the program. If you need assistance conducting your search, please contact the USPTO Resource Center at Georgia Tech at 404-385-7185.

Page 3

By submitting my electronic signature below, and by submitting this application, I am making the following representations:

  1. The information provided by me in this application is, to the best of my knowledge, compete and accurate.
  2. I understand that submitting false or misleading information may result in delay or denial of services.
  3. I understand that misrepresenting the number or identity of inventors, the state of the prior art, or my qualification for micro-entity status to the United States Patent and Trademark Office may constitute fraud, and could result in the invalidation of the patent or application.
  4. I will notify the Georgia PATENTS program if any of the information in this application materially changes prior to placement with an attorney, especially if any inventor's income should suddenly increase.
  5. I have not shared any confidential details of my invention with the Georgia PATENTS program.
  6. I understand that continuation in the program is at the discretion of the program administrator, and that filling out this application does not entitle me to any services.
  7. I agree and understand that this application does not create an attorney-client relationship between any named inventor or myself and any individual attorney, the Georgia PATENTS program, or Georgia Lawyers for the Arts.
  8. I understand that the matter may be placed with either a patent attorney or patent agent, and that this person's representation may be limited to the filing of a patent application for the invention referenced in this application.
  9. I understand that GA PATENTS' scope of services are limited to the placement of cases for filing patent applications and that if I have another legal issue, including but not limited to setting up a corporation prior to placement with a patent attorney/agent, GA PATENTS will not handle the placement of these issues. I further understand that while my assigned attorney may take on these additional matters, they may charge additional fees for these services.
  10. I understand I am responsible for paying an administrative fee prior to placement with a volunteer patent agent or attorney, and I understand that the applicant remains responsible for the payment of all necessary governmental fees and ancillary fees, e.g. draftsmen, when necessary.

Place your types signature between two "/" marks.

After submitting this application, the program administrator will review the details and will attempt to contact you within a reasonable period of time.  Please only call the office or e-mail for confirmation if you do not receive an automated confirmation e-mail.  Keep in mind that the office is usually closed on and around major holidays, and delays are likely during these periods of the year
Please review your application carefully before submitting. Submitting your application multiple times will cause unnecessary delays. We ask you to please be certain of your responses before pressing the submit button. If you need to make material changes after hitting submit, please e-mail us at or call our office at (404) 873-3911, but DO NOT submit and then go back to make changes and submit again.

Georgia PATENTS is a program of Georgia Lawyers for the Arts, Inc., a Georgia non-profit and was created in association with the United States Patent and Trademark Office, the State Bar of Georgia, and the Atlanta Bar Association.  Georgia Lawyers for the Arts is the sole entity responsible for administration of this program.

"GLA," the GLA Logo, and the Georgia PATENTS logo are service marks of Georgia Lawyers for the Arts.  The GLA Logo and Georgia PATENTS logo are © Georgia Lawyers for the Arts.