Trade Secret Disclosure
Form |
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This
form should be used if you want us to consider
a trade secret matter.You may fill-out
this form and then return it to us via
email by pressing the “submit” button
at the end of this form. Alternatively,
you may print-out this form, fill-in the
requested information and return it to
us by U.S. post office mail or facsimile. |
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* Required Field |
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I. |
*Briefly
describe the subject matter of
the trade secret (for example,
chemical formula for testing water
chlorine level, or apparatus
for filtering waste water, process
for making gasoline, etc.): |
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II. |
Do you only want general advice
regarding how to protect your
trade secrets?
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III. |
Does this matter involve theft
of the trade secret by a specific
competitor?
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IV. |
Does this matter involve theft
of the trade secret by your employee?
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Our
Assurance of Confidentiality
Premier IP Protection, LLC hereby
agrees that any information pertaining
to information provided by the
owner(s) of the trade secret
named in this Trade Secret Disclosure
Form will not be revealed, used,
disclosed, sold, or transferred
without the express authorization
of the owner(s) of the trade
secret, except if required by
court order.
For Premier IP Protection, LLC:

Walter S. Stevens, Esq.
Manager Member |
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Submitter's
Statement
By submitting this Trade Secret
Disclosure Form and any other
information pertaining to the
trade secret, I acknowledge that
Premier IP Protection, LLC is
accepting this information for
review purposes only. I
understand that any comments
that I receive based upon this
review are based upon a limited
analysis and is neither meant
nor understood to be a conclusive
legal opinion. Further,
I agree that Premier IP Protection,
LLC cannot be held responsible
for any recommendations based
upon the review of the information
herein and cannot be held responsible
for the return of any submitted
materials. Even if no signature(s)
for the owner(s) of the trade
secret is/are included in the
submitted form, I/we acknowledge
that the submission of this Trade
Secret Disclosure Form shall
indicate my agreement to this
Trade Secret Owner’s Statement.
** There is no need sign this form,
if returning this form online.
It will be assumed that the completed
form is from the individual whose
name appears above. |
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