Intellectual Property Disclosure Form

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Intellectual Property Disclosure Form
Tuskegee University Office of Grantsmanship and Compliance (Chappie James Center, Room
100(334)727-8985
I. Description
Please provide a title for your invention and a brief description. Inventions include new
processes, products, apparatus, compositions of matter, living organisms, or improvements
to
(or
new
uses
for) things
that
already
exist.
Use
additional
sheets
and
attach
descriptive materials to expand answers to questions. Sketches, drawings, photos, reports
and manuscripts will be helpful.
Invention Title__________________________________________________________________________
Description _____________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
What are the immediate and/or future applications of the inventions? ____________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Why is the invention better (more advantageous) than present technology? What are its
novel and unusual features? What problems does it solve? ________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Is the work on the invention continuing? Are there limitations to be overcome or other
tasks to be done prior to practical application? Are there any test data? _______________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Have products, apparatus or compositions, etc. actually been made or tested? ____________
_________________________________________________________________________________________
II. Publications, Public Use and Sale
Note: valid patent protection depends on accurate answers to the following items.
Has the invention been disclosed in an abstract, paper, talk, news story or a thesis?
Yes ______ No _______
Type of disclosure __________________________________ Date of Disclosure _______________
(Please enclose a copy)
Is a publication or other disclosure planned in the next six months? Yes _____ No _______
Type of disclosure ___________________________________ Date of Disclosure _______________
(Please enclose a copy)
Has there been any public use or sale of products embodying the invention? Yes ___ No____
If yes, describe, giving dates __________________________________________________________
_________________________________________________________________________________________

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