Patent Assignment Form printable pdf download

U.S. DEPARTMENT OF ENERGY

GC F 2050.2

(9-79)

PATENT ASSIGNMENT FORM

WHEREAS, I,

, a citizen of the United States residing

, County of

State of

, have invented certain new and useful improvements in

, for which I am about to

file an application for United States Letters Patent identified as

and; executed by me on

; and;

WHEREAS, the Government of the United States desires to acquire the entire right, title, and interest

in and to the said invention and in and to any Letters Patent wherever they may be issued thereon;

NOW, THEREFORE, to all whom it may concern, be it known that for and in consideration of the

sum of One Dollar to me in hand paid by the Government of the United States, and for other good and

valuable consideration, the receipt of which is hereby acknowledged. I by these presents do sell, assign, and

transfer unto the said Government of the United States, as represented by the United States Department of

Energy, and / or its assigns, the entire right, title, and interest in and to the said invention and in and to any

and all Letters Patent wherever they may be granted thereon as well as reissues and extensions of said

Letters Patent, the same to be held and enjoyed by the said Government of the United States to the full end

of the term or terms for which Letters of Patent are or may be granted, reissued, or extended, as fully and

entirely as the same would have been held or enjoyed by me had this assignment not been made.

I agree to make, execute, and deliver unto the Government of the United States, or to the United States

Department of Energy, any and all papers, documents, affidavits, renewal, divisional and reissue applica-

tions statements, or other instruments in such usual or other forms, terms, and contents as may be

required by the United States Department of Energy, or its duly authorized representative, in or incident to

the prosecution or conduct of any and all applications, before as well as after the issuance of any Letters

Patent thereon, or in the adjustment or settlement of any interferences or other actions or proceedings that

said applications may encounter or in which they may become involved, and I agree that I will aid the

Government of the United States in every way in protecting the invention as may be requested by the

United States Department of Energy or its assigns, except that any expenses arising through extending

such assistance will be paid for by proper arrangement with the Government of the United States.

WITNESS:

INVENTOR:

(SEAL)

Date

Approved and consented to this

day of

, 19

ATTEST:

(SEAL)

Its

Accepted for the Benefit of the Government of the United States.

UNITED STATES DEPARTMENT OF ENERGY,

WITNESS:

Assistant General Counsel for Patents

Patent Assignment Form

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