Form Cd-240 - Invention Disclosure And Rights Questionnaire - U.s. Department Of Commerce
Download a blank fillable Form Cd-240 - Invention Disclosure And Rights Questionnaire - U.s. Department Of Commerce in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form Cd-240 - Invention Disclosure And Rights Questionnaire - U.s. Department Of Commerce with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2U.S. DEPARTMENT OF COMMERCE
FORM CD-240
DOCKET NUMBER
(REV. 10-99)
DAO 202-753-A
INVENTION DISCLOSURE AND RIGHTS QUESTIONNAIRE
INSTRUCTIONS: COMPLETE FORM CD-240; ATTACH A COPY OF THE INVENTION DISCLOSURE, AND FORWARD THROUGH YOUR MANAGEMENT CHAIN TO
RECEIVING AGENCY.
TITLE OF INVENTION
STATEMENT OF INVENTOR(S)
1.
CHECK (X) ALL APPLICABLE SITUATIONS THAT APPLY FOR THE CONCEPTION AND/OR REDUCED TO PRACTICE (I.E., THE INVENTION HAS BEEN
IMPLEMENTED OR BUILT AND USED FOR ITS INTENDED PURPOSE) OF THIS INVENTION.
CONCEIVED
REDUCED TO PRACTICE
CRADA (NUMBER___________________________________________ )
A.
B.
FEDERAL CONTRACT/ GRANT/ COOPERATIVE AGREEMENT (NUMBER____________________________________ )
(AGENCY__________________________________________________________________________________________)
C.
GUEST RESEARCHER AGREEMENT (NAME____________________________________________________________)
(HOME ORGANIZATION______________________________________________________________________________ )
D.
INTERAGENCY OR OTHER FORMAL AGREEMENT (AGENCY_____________________________________________ )
E.
INTRAMURAL FUNDING (AGENCY____________________________________________________________________ )
F.
INTRAMURAL NIST/ATP FUNDING (AGENCY ________________________________________________
)
G.
INDUSTRY FELLOW CRADA (NUMBER ________________________________________________
)
H.
INFORMAL COLLABORATION OR OTHER
I.
NONE OF THE ABOVE
2.
A CLEAR UNDERSTANDING OF THE INVENTION WAS FIRST CONCEIVED ON____________________(MONTH/DAY/YEAR) AS RECORDED IN
LABORATORY NOTEBOOK NUMBER ____________, PAGE ________________
MEETING NOTES
OTHER
3.
THE INVENTION WAS REDUCED TO PRACTICE OVER THE PERIOD FROM____________________(MONTH/DAY/YEAR)
TO____________________(MONTH/DAY/YEAR).
4.
THE INVENTION WAS
PUBLISHED IN ________________________ON______________________(MONTH/DAY/YEAR) OR
SUBMITTED FOR PUBLISHING TO ___________________________ON____________________(MONTH/DAY/YEAR) WITH AN EXPECTED
PUBLISHING DATE OF________________(MONTH/DAY/YEAR) OR
HAS NOT
WILL NOT BE SUBMITTED FOR PUBLICATION.
5.
THE INVENTION
YES
NO
A.
HAS NOT BEEN DISCLOSED TO ANY NON-FEDERAL EMPLOYEE
PRESENTED WITH/TO _______________________________
HAS BEEN
DISCLOSED
DEMONSTRATED
B.
ON ___________________(MONTH/DAY/YEAR)
6.
I/WE ARE PLANNING TO
DISCUSS
DEMONSTRATE
PRESENT
OTHERWISE DISCLOSE THE INVENTION WITH/TO ______________________________ON___________________(MONTH/DAY/YEAR).
(THIS QUESTION APPLIES TO DISCLOSURE TO PERSONS NOT EMPLOYED BY YOUR AGENCY)
7.
I/WE CURRENTLY KNOW OF THE FOLLOWING U.S. OR FOREIGN PATENT(S), PENDING PATENT APPLICATION(S), OR DISCLOSURES THAT RELATE TO THIS
INVENTION.
8.
THE INVENTION (CHECK (X) ALL THAT APPLY)
IS DIRECTLY RELATED TO MY/OUR OFFICIAL DUTIES
WAS MADE DURING WORKING HOURS
WAS MADE WITH A CONTRIBUTION BY THE GOVERNMENT OF FACILITIES, EQUIPMENT, MATERIALS, FUNDS, INFORMATION, OR TIME OR SERVICES OF
OTHER GOVERNMENT EMPLOYEES ON OFFICIAL DUTY.
ADMINISTRATION/IPSG ELECTRONIC FORM
ADVERTISEMENT
0 votes
Related Articles
Related forms
Noaa Subcontracting Plan Review Form - National Oceanic And Atmosphering Administration - U.s. Department Of Commerce
Legal
Form Wh-381 - Notice Of Eligibility And Rights And Responsibilities (family And Medical Leave) - U.s. Department Of Labor - 2013
Business
Form Pto/sb/25 - Terminal Disclaimer To Obviate A Provisional Double Patenting Rejection Over A Pending Second Application - U.s. Department Of Commerce
Legal
Form Ita-4093p - Application For An Export Trade Certificate Of Review - U.s. Department Of Commerce
Legal
Form Hud 50071 - Certification Of Payments To Influence Federal Transactions - Office Of Public And Indian Housing - U.s. Department Of Housing And Urban Development
Legal
Related Categories
Parent category: Life