Invention Disclosure Template
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1INVENTION DISCLOSURE TEMPLATE
1. Title of the Invention:
2. Inventor(s): Name, Address, Phone Number
An individual who contributed to the “inventive process” is an inventor. Technical
assistants or investors are not inventors.
3. Circumstances and Date of Conception:
When and how did you think of the invention?
4. Description of the Invention
Purpose (What is the invention used for?)
o
Drawings (drawings, sketches, or photos of the invention with parts labeled)
o
Description of the Parts (Describe the invention using the drawings to point out
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each of the invention’s parts)
Use (How is the invention used?)
o
Novel Features (What features of the invention are different from the prior art?
o
How do these features provide superior results?)
Advantages (What advantages does the invention have over the prior art?)
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(Note: In this section it is very important to point out all the details of the invention which
make it novel, useful, and better than the prior art. Even small details are important.
Please don’t leave anything out. Oftentimes it is the small details of the invention which
result in a patent.)
5. Testing Results (if applicable, what were the results of testing the invention?)
6. Other
Have you publicly exposed the invention? (including product demonstration,
o
trade show, published articles, conferences, online articles, etc.)
If yes, date of first exposure:
Have you sold the product or offered it for sale?
o
If yes, date of first sale/offer for sale:
Do you plan to pursue patents or similar protections in other countries?
o
Are you interested in a pre-application patentability search?
o
Signed___________________________
Date____________________
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