Invention Disclosure Form

1
Descriptive Invention Title* This field is required.The patent title should be descriptive of the invention to which the claims are directed. If the title is not considered descriptive, the Patent Office Examiner may require a new title. The patent title must not exceed 500 characters in length and must be as short and as specific and descriptive as possible. The title should be one that is easily searchable using a few keywords during a patent search.
Huge
Large
Normal
Small
Ok
Ok
2
Inventor 1 Details* This field is required.
Inventor 1 Name
Inventor 1 Address
City
Zip Code
Inventor 1 Mobile Phone
Inventor 1 Email
3
Inventor Name (For OneDrive)
4
Inventor 2 DetailsLeave blank if this is not applicable
Inventor 2 Name
Inventor 2 Address
City
Zip Code
Inventor 2 Mobile Phone
Inventor 2 Email
5
Inventor 3 DetailsLeave blank if this is not applicable
Inventor 3 Name
Inventor 3 Address
City
Zip Code
Inventor 3 Mobile Phone
Inventor 3 Email
6
1c. Owner* This field is required.Do the inventor(s) that you listed in the previous questions own the patent rights to this invention? If you answered "No," please identify the owner of the invention below including the state/country of organization for the company along with the company's mailing address
Huge
Large
Normal
Small
Ok
Ok
7
1d. Prior Public Disclosure* This field is required.Identify any past use, sale, display or publication of the invention (include dates).
Huge
Large
Normal
Small
Ok
Ok
8
1e. Related Patents or Applications* This field is required.List any related patents or patent applications of yours.
Huge
Large
Normal
Small
Ok
Ok
9
2a. Purpose* This field is required.What does the invention do?
Huge
Large
Normal
Small
Ok
Ok
10
2b. Prior Existing Technology* This field is required.Describe previous methods, materials, or apparatus used by others to perform the purpose of the invention and give their limitations/disadvantages.
Huge
Large
Normal
Small
Ok
Ok
11
2c. Physical Structure* This field is required.Describe the physical structure of your invention (if applicable). Sketches, photos, or other illustrations should be attached to this form to fully illustrate your invention. In the description of the physical structure, use reference characters to refer to refer to components in attached illustrations.
Huge
Large
Normal
Small
Ok
Ok
12
2d. Operation/Function/Use* This field is required.Give a detailed description of the invention's operation, function and use.
Huge
Large
Normal
Small
Ok
Ok
13
2e. Alternatives* This field is required.Indicate any alternative or additional methods, materials, or apparatus of the invention.
Huge
Large
Normal
Small
Ok
Ok
14
2f. New Features* This field is required.Identify all novel features of the invention
Huge
Large
Normal
Small
Ok
Ok
15
2g. Advantages* This field is required.State the advantages of the invention over the Prior Existing Technology described in paragraph 2b (Prior Existing Technology).
Huge
Large
Normal
Small
Ok
Ok
16
Does your company qualify for micro-entity status with the USTPO?* This field is required.The "Maximum Qualifying Gross Income" for purposes of paying any eligible fee at the micro entity discount rate is currently $206,109. Click here to learn more about qualifying for micro-entity status.
YESNO
17
Please click here to download the Certification of Micro-Entity Status form. After downloading please fill in your information, print, sign, scan and upload below.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
18
Do you or an inventor qualify for a petition to make special based on age or health?* This field is required.The criteria for a petition to make special on the basis of age or health are set forth in 37 CFR 1.102, MPEP § 708.02. Click here to learn more about qualifying for a petition to make special.
YESNO
19
Please click here to download the Petition To Make Special Based on Age/Heath form.After downloading please fill in your information, print, sign, scan and upload below.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
20
Person Submitting The Form* This field is required.
First Name
Last Name
Email
Business Phone
Cell Phone
Mailing Address
21
Please upload any corresponding documents you would like to share.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
22
I confirm that the details in this invention disclosure form are accurate.* This field is required.Please draw your signature below.
Clear
Should be Empty: