Please fill out the following form completely. If you have any additional documents, please send them to UAF-OIPC@alaska.edu with the subject "IDF Attachments."
Title of technology
If more than three people have worked on this technology, please e-mail additional names and information to UAF-OIPC@alaska.edu
Name
Position
Department
Telephone and e-mail
Home Address
Country of Citizenship
Social Security number (required)
Contract/grant number
Sponsor
Project number
Principal investigator
(accurate data is essential as prior disclosure may affect the possibility of obtaining patent rights)
A. Date of conception of invention. Has this date been documented? If so, where?
B. First publication containing sufficient description to enable a person skilled in this field to understand and to make or use the invention (include theses, and the date submitted).
C. First public oral disclosure of invention sufficient to enable a person skilled in this field to understand and to make or use the invention.
D. If unpublished and undisclosed, provide the anticipated publication or oral disclosure date and any submissions made for potential publication.
If yes, please give date of first reduction to practice
This form can be used to attach documents up to 10 MB. Please e-mail larger documents to UAF-OIPC@alaska.edu with the subject "IDF Attachments."
