Intellectual Property
Invention Disclosure
Invention and intellectual property disclosure form for employees to report inventions made during employment. Single signer (inventor).
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# Invention Disclosure **Date of Disclosure:** ___________ This Invention Disclosure ("Disclosure") is submitted by: **Inventor:** ___________ ("Inventor") **Organization:** ___________ ("Organization") ## 1. Inventor Information **Position or Title:** ___________ **Department:** ___________ **Supervisor Name:** ___________ **Employment Start Date:** ___________ **Work Email:** ___________ ## 2. Invention Title **Title of Invention:** ___________ ## 3. Date of Conception **Date the invention was first conceived:** ___________ **Date the invention was first reduced to practice (if applicable):** ___________ ## 4. Description of Invention **Detailed description of the invention, including its purpose, structure, and function:** ___________ ## 5. Technical Field
Fields (34)
disclosure date
date 路 required
inventor name
text 路 required
organization name
text 路 required
position
text 路 required
department
text 路 required
supervisor name
text 路 required
employment start date
date
work email
text 路 required
invention title
text 路 required
conception date
date 路 required
practice date
date
invention description
textarea 路 required
technical field
select 路 required
problem solved
textarea 路 required
advantages
textarea 路 required
prior art
textarea
has co inventors
select 路 required
co inventor details
textarea
development context
select 路 required
resources used
textarea
related to business
select 路 required
external funding
select 路 required
funding details
textarea
third party disclosure
select 路 required
disclosure circumstances
textarea
public disclosure
select 路 required
publication details
textarea
public disclosure date
date
commercial potential
textarea
target market
textarea
supporting materials
textarea
governing state
select 路 required
inventor signer name
text 路 required
inventor signer title
text
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