This section captures the reporter's identity and organizational context to ensure proper escalation, resource allocation, and follow-up communication. All fields marked mandatory are essential for processing your report.
Employee Full Name
Employee ID Number
Official Corporate Email Address
Direct Phone Number (with country code)
Primary Business Unit
Global Marketing
Regional Sales
Brand Management
Digital Commerce
Corporate Communications
Product Management
Strategic Partnerships
Other
Department/Team Name
Job Title/Role
Immediate Manager/Supervisor Name
Manager's Email Address
Date and Time of Initial Discovery
How did you discover this infringement? (Select all that apply)
Customer complaint
Partner notification
Marketplace monitoring
Social media scan
Web search
Trade show observation
Field sales report
Competitive intelligence
Media coverage
Internal audit
Whistleblower tip
Other
Have you reported this specific infringing entity to our company before?
Provide previous report reference number(s) and outcome details:
Do you have any direct business relationship or personal connection with the infringing entity?
Describe the nature of the relationship and potential conflict of interest considerations:
Document the infringing party's identity and where the violation is occurring. Provide as much locational detail as possible to enable enforcement actions and jurisdictional analysis.
Infringing Entity Official Name (as displayed)
Entity Type
Registered Corporation
Sole Proprietorship
Partnership
Government Agency
Non-profit Organization
Individual Person
Online Marketplace Seller
Social Media Influencer
Unknown/Unidentified
Other
Country of Primary Operation
Region/State/Province
City
Physical Address (if known)
Primary Website URL (if applicable)
Is this website an official site or suspected fraudulent domain?
Explain what makes it appear fraudulent:
Digital Platforms Where Infringement Appears (Select all platforms)
Platform-Specific Infringement Details
Platform Name | Account Handle/Username | Specific URL/Link | Date/Time Observed | Visibility Score (1-10) | ||
|---|---|---|---|---|---|---|
A | B | C | D | E | ||
1 | ||||||
2 | ||||||
3 | ||||||
4 | ||||||
5 | ||||||
6 | ||||||
7 | ||||||
8 | ||||||
9 | ||||||
10 |
Do you have verified contact information for the infringing entity?
Provide email, phone, or contact form details:
How did you verify this entity's identity and operations?
Geographic Scope of Infringement
Local (single city)
Regional (multiple cities)
National (single country)
Multi-national (2-5 countries)
Global (6+ countries)
Unknown
Estimated Audience Reach (number of potential impressions/views)
Detail exactly what is being infringed and how. Comprehensive evidence documentation is critical for legal proceedings and cease-and-desist actions. Upload all supporting materials.
Which of our company's intellectual property assets are being infringed? (Select all that apply)
Primary Corporate Logo
Secondary Product Logo
Word Mark/Trademark
Slogan/Tagline
Product Design/Trade Dress
Packaging Design
Brand Colors/Color Scheme
Character/Mascot
Patented Technology (marketed with our brand)
Copyrighted Marketing Materials
Other
Specific Asset Identifier (if applicable)
Describe exactly how our IP is being used by the infringing party
Date you first observed this specific infringement
Is the infringement still ongoing/active?
When did the infringement stop?
Type of Infringement
Direct Copy (identical reproduction)
Modified/Adapted (substantially similar)
Composite Use (combined with other elements)
Parody/Commentary
Comparative Advertising
Unintentional/Accidental
Cannot Determine
Does this involve counterfeit physical products bearing our brand?
Describe product type, quality, distribution channels, and any safety concerns:
Visual Evidence Documentation Log
Evidence ID | Screenshot/Photo | Capture Date/Time | Source Platform/Location | Description of What Evidence Shows | Verified Authentic? | ||
|---|---|---|---|---|---|---|---|
A | B | C | D | E | F | ||
1 | |||||||
2 | |||||||
3 | |||||||
4 | |||||||
5 | |||||||
6 | |||||||
7 | |||||||
8 | |||||||
9 | |||||||
10 |
Context of Unauthorized Use (Select all contexts observed)
On product/service packaging
In physical retail display
On website homepage
In digital advertising
On social media profile
In email campaigns
In printed marketing materials
At trade show booth
In video content
Mobile application
Domain name/URL
Employee uniforms/merchandise
Vehicle branding
Building signage
Other
Level of Modification to Our IP
No modification (exact copy)
Minor alteration (color, size, proportion)
Moderate change (added elements, text)
Significant transformation (unrecognizable to untrained eye)
Cannot determine from evidence
Have we received customer complaints or inquiries about this infringement?
Approximately how many customer contacts received?
Does this infringe upon any existing licensing agreements, NDAs, or partnership contracts?
Specify agreement name, date, and nature of violation:
Assess the business impact and risk severity to help prioritize enforcement actions and allocate appropriate resources. Provide quantitative estimates where possible.
Estimated Potential Revenue Impact (in USD)
Financial Loss Range Category
Minimal (< $10K)
Low ($10K - $50K)
Moderate ($50K - $250K)
High ($250K - $1M)
Severe ($1M - $5M)
Critical (>$5M)
Brand Reputation Risk Level
Very Low
Low
Moderate
High
Very High
Critical
Likelihood of Customer Confusion (1 = Very Unlikely, 10 = Virtually Certain)
Market Overlap with Our Business
Direct competitor in same markets
Indirect competitor in adjacent markets
Non-competitor but same industry
Unrelated industry
Unknown market position
Estimated Audience Reach (impressions/views)
Competitive Threat Level (1-5 stars)
Potential Media/PR Risk Sentiment
Stakeholder Impact Assessment
No Impact | Minimal | Moderate | Significant | Severe | |
|---|---|---|---|---|---|
Impact on existing customers | |||||
Impact on prospective customers | |||||
Impact on channel partners | |||||
Impact on investor confidence | |||||
Impact on employee morale | |||||
Impact on brand valuation |
Have we experienced similar infringement incidents from this entity or in this market before?
Summarize previous incidents and outcomes:
Strategic Importance of Addressing This Infringement
Routine enforcement matter
Important for market clarity
Critical for brand protection
Strategic precedent-setting case
Urgent crisis management required
Provide your professional recommendation for enforcement action and identify resource requirements. This section informs IP Committee decisions and legal strategy development.
Urgency Priority Level (1 = Low, 10 = Immediate Action Required)
Recommended Enforcement Action
Monitor and observe only
Send informal notification
Issue formal cease-and-desist letter
File platform takedown notice
Initiate trademark opposition/cancellation
Pursue formal legal action (lawsuit)
Engage settlement negotiations
Request customs seizure (counterfeit)
Coordinate with law enforcement
Escalate to executive leadership
Does this require immediate consultation with internal Legal Counsel?
Specify legal questions or complexities:
Recommend issuing a cease-and-desist communication?
Cease-and-Desist Tone Recommendation
Friendly educational outreach
Firm but professional warning
Aggressive legal demand
Platform-specific takedown request
Is additional investigation required before action?
Investigation Types Needed
Private investigator engagement
Mystery shopping (counterfeit)
Financial records search
Domain ownership verification
Marketplace purchase test
Trademark database search
Social media deep dive
Customer witness interviews
Cross-Functional Teams to Engage (Select all that apply)
Global Legal Department
Regional Legal Counsel
Marketing Communications
Public Relations
Digital Security
Supply Chain/Procurement
Sales Leadership
Customer Service
Executive Leadership
External Law Firm
Brand Protection Agency
Other
Estimated Budget Required for Enforcement Action (USD)
Desired Timeline for Initial Action
Within 24 hours
Within 3 business days
Within 1 week
Within 2 weeks
Within 1 month
Next quarterly review cycle
Additional Context for IP Committee Decision Makers
Reporter Digital Signature (acknowledging accuracy of information)
Authorization Level Requested
Business unit-level approval only
Regional IP Committee review
Global IP Committee decision
Executive leadership escalation
Emergency interim action authority
To configure an element, select it on the form.