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Invention Disclosure Questionnaire

Inventor's Name

Mailing Address

Email Address

Phone Number

Invention Title

Description- In As Much Detail as Possible:

(a) Describe the Invention

(b) Describe the Problem with Existing Solutions

(d) Describe How it Operates and How to Use it

(e) Any Other Important Details.

Has the Invention been Presented, Disclosed, Described in a Published Document? If so, When and Where? In the future?

Has the Invention Been Offered for Sale? If so, When and Where?

Is the Invention Being Tested? If so, When, Where, and How?

Has the Invention been Shown at a Trade Show? Or will be shown? When and where?

Has a Provisional Patent Application been filed? When? Do you know the Serial No.?

Has the Invention been Assigned to Someone or Other Entity? Is there an Agreement to Assign it? To Whom?

Are you a Small Entity (less than 500 employees)?

Yes

Provide any Sketches, Drawings, Photos, and Diagrams to Explain the Invention.

Upload Files

Are there any Other Embodiments, Versions, or Other Models? If so, Please Describe?

Please Describe any Limitations or Problems with Current Solutions.

Please Describe any Other Details with Current Solutions.

How Urgently is an Application to be Filed?

Identify Other Contributors and Describe Their Contributions

Please provide Names, Citizenship, Permanent Address for all Inventors.

Please Describe any Other Feature Details with the Invention.