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INVENTION DISCLOSURE FORM/
PATENT PROPOSAL

Please take a moment to fill out the form.

A. STRATEGY CATEGORY

STANDARD - OFFENSIVE

STANDARD - DEFENSIVE

B. PRIORITY

HIGH

MEDIUM

LOW

C. TARGET DATE OF FILING (TDF):

1. INVENTION TITLE: (Method or System for...)

2. CONCEPTION DATE: (List any witnesses)

3. INVENTOR NAME(S): (Full name)

ADDRESS

CITIZENSHIP

IDENTIFY LEAD INVENTOR

WHETHER EMPLOYEE/CONSULTANT

4. PRIOR ART BACKGROUND: (Brief description of prior art. What problem or missing solution?)

5. DESCRIBE INVENTIVE SOLUTION: (OUR SOLUTION TO #4 ABOVE)

FIGURE NEEDED: Essential Steps in Method(s) of Invention (Flowchart).

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FIGURES NEEDED: Essential Components in System Architecture of Invention (Block Diagram).

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6. PRIOR DISCLOSURE DATES: (Describe offers for sale, publications, presentations, demonstrations, and discussions; whether under NDA confidentiality) Need to Determine Bar Date: One year from Disclosure to File Application

7. ABSTRACT: (1-paragraph summary of invention disclosure)

8. COMMERCIAL VALUE: (Potential for licensing or blocking competition; discuss industry/market need)

9. SUBMISSION: (Full Name)

SUBMISSON DATE

PHONE

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INVENTION DISCLOSURE FORM/ PATENT PROPOSAL

INVENTION DISCLOSURE FORM/
PATENT PROPOSAL