IPR Submission Form

IPR Submission Form Steps
Entry	Done

WiMAX Forum IPR Submission Form
Please complete the following fields and then click 'Submit'. Please be as specific as possible regarding assertions of Necessary Claims and the Specifications to which they relate. If detailed claim information is not available, please indicate this by stating "Unspecified" in the field for Necessary Claims. If detailed information regarding Specifications is not available, please identify the Working Group that is responsible for the Specification (e.g. "NWG Specifications") or describe in general terms the subject matter that you believe the Necessary Claim covers. Otherwise, state "Unspecified." *Required Field
Submitter
Name*
Title/Position*
Company*
Email*
Street Address*
City*
State or Province*
Postal or Zip Code
Country*
Patent Information
Inventor*
Assignee*	Please type n/a if not assigned
Title of Patent*
Country / Jurisdiction*
Patent Application #*
Patent Number*	Please type n/r if not registered
Countries Applicable*
Additional Information Regarding Necessary Claims (Optional)
Additional Information Regarding Necessary Claims (Optional)
Specification(s)
WiMAX Forum Documents*	Please list any WiMAX Forum documents or specifications to which this claim is related.