Patent Submission Form

Submit Your Patent or Patent Application to Visa for Review

Fill in the following details to submit a patent to Visa. All fields are required unless labeled as optional.

Submitter and patent owner details

Please check the appropriate box that defines your relationship with the patent owner:

• I am the patent owner
• I am an attorney authorized to represent the patent owner
• I am a broker/intermediary authorized to represent the patent owner

Submitter information

• First name
• Last name
• Job title
• Email
• Company name
• Company address

If you are an authorized representative, who is the patent owner/assignee of the patent?

Submission

Please upload your patent document(s) using Microsoft Word or PDF only. (Size of each file should be less than 5MB. Total size of all attachments must be less than 14MB. Maximum of 6 files can be attached.)

• Upload file

Please describe the contents and technical nature of your patent portfolio:

I agree to the Terms and Conditions