Apply now > Notice Step 1
Your Requirements and Patents
Step 2
Risk Details
Step 3
Your Business & Experience

Step 1 - Your Requirements and Patents

1.1 Full Name of Proposer(s)
(If there are joint Applicants, please provide an explanation of their relationship):




1.2 Please state your Country of Domicile

Denmark



1.3 Contact Details

Contact Person
E-Mail



1.4 Please select the category that best describes your business activities:




1.5 Declared gross revenue of the Proposer in the last 12 months:

DKK



1.5a Breakdown of declared gross revenue by geographical region (percentage):

Denmark (%)
Rest of Europe (%)
USA / Canada (%)
Rest of the World (%)



1.6 Estimated gross revenue of the Proposer for the next 12 months:

DKK



1.6a Breakdown of estimated gross revenue by geographical region (percentage):

Denmark (%)
Rest of Europe (%)
USA / Canada (%)
Rest of the World (%)



1.6b Estimated gross revenue of the Proposer for the next 12 months attributable to the Patents to be insured:

DKK



1.7 What level of external investment have you raised in the last 3 years to develop your business, inclusive of loans, grants and venture capital:

DKK



1.8 Please identify the patent family(ies) you wish to insure for enforcement proceedings. You should state the application or grant number of the patent you first filed and any foreign equivalents will automatically be covered (depending on the territorial limits selected at Q.10 below).

If you have more than 10 (ten) patent families that you wish to insure please tick the box below and we will contact you to collect these details:

More than 10 patent families Yes No    




1.9 Have you needed to seek advice or issue warning letters, or have you been involved in any legal proceedings or investigations relating to a possible or actual infringement of your patent(s) in the last ten years?

Yes      No



1.10 Please select Territorial Limits required:
(You may tick more than 1)

Denmark
European Patent Convention Member States
Worldwide excluding USA Canada
Worldwide



1.11 Have any of your patents ever been the subject of any invalidation, re-examination or declaration of non-infringement proceedings?

Yes      No




1.12 After full enquiry, are you aware of any cause, event or circumstance (including any prior art or rights in application), which may give rise to a claim being made under this Policy?

Yes      No




1.13 Please select the Limit of Indemnity you require. The limit is per claim and in the aggregate.
(You may tick more than 1)

DKK 1.000.000
DKK 2.500.000
DKK 5.000.000
Other



1.14 Do you wish to extend the cover to include the defence of challenges to the title, validity or ownership of your patents?

Yes      No