Trademark Application Worksheet Template
Trademark Application Worksheet
Prepared On: [Date]
Prepared By: [Name]
Internal Reference Number, if any: [Number]
Applicant / Owner Name: [Full Legal Name]
Entity Type: [Individual / LLC / Corporation / Partnership / Other]
State or Country of Formation: [State / Country, if applicable]
Primary Address: [Address]
City, State, ZIP Code: [City, State, ZIP Code]
Country: [Country]
Email Address: [Email Address]
Phone Number: [Phone Number]
Attorney Filing the Application, if any: [Name]
Proposed Mark: [Insert Mark]
Type of Mark:
☐ standard character word mark
☐ stylized mark
☐ design mark
☐ composite mark
☐ service mark
☐ trademark
☐ other: [Describe]
Description of mark, if needed:
[Describe wording, logo elements, colors, stylization, or design features]
Color claim, if any:
☐ no color claimed
☐ color claimed as follows: [Describe]
3. Goods and Services
The mark will be used in connection with the following goods and/or services:
[Goods / Services Description]
[Goods / Services Description]
[Goods / Services Description]
Additional goods or services:
[Insert details]
Class Number: [Class Number]
Class Description: [Description]
Additional class, if any:
5. Filing Basis
The intended filing basis is:
☐ use in commerce
☐ intent to use
☐ foreign application basis
☐ foreign registration basis
☐ other: [Describe]
If more than one basis applies, describe here:
If filing based on use in commerce, provide the following:
Date of First Use Anywhere: [Date]
Date of First Use in Commerce: [Date]
Describe how the mark is currently used:
If filing based on intent to use, describe planned use:
Specimen available now:
☐ yes
☐ no
☐ not required at this stage
Type of specimen, if applicable:
☐ product label
☐ packaging
☐ website screenshot
☐ advertisement
☐ brochure
☐ service materials
☐ other: [Describe]
Specimen notes:
URL and access date, if website specimen is planned:
8. Mark Wording and Meaning
Does the mark contain non-English wording?
☐ yes
☐ no
If yes, translation:
[Insert translation]
Does the mark contain transliterated characters?
If yes, transliteration:
[Insert transliteration]
Meaning or significance of mark wording, if any:
Has the applicant previously filed for this mark?
If yes, prior application or registration number:
[Insert number]
Related foreign filing or registration, if any:
Related company, affiliate, or licensing information, if any:
10. Use by Others and Clearance Notes
Known similar marks or possible conflicts:
Pre-filing search completed:
☐ yes
☐ no
☐ pending
Search notes:
Website associated with the mark: [Website]
Goods sold online:
Services promoted online:
Sales territory or market description:
12. Internal Review Notes
Business contact for approval: [Name]
Marketing contact: [Name]
Legal contact: [Name]
Questions or issues needing review:
13. Final Filing Checklist
☐ applicant legal name confirmed
☐ owner entity type confirmed
☐ mark wording confirmed
☐ design details confirmed, if applicable
☐ goods and services reviewed
☐ class numbers reviewed
☐ filing basis selected
☐ use dates confirmed, if applicable
☐ specimen prepared or planned
☐ translation or transliteration reviewed, if applicable
☐ internal approval completed
☐ ready for filing
14. Signature or Internal Approval
Prepared By: __________________________
Name: [Full Name]
Date: [Date]
Approved By: __________________________
Name: [Full Name]
Date: [Date]