= Menu

Invention Disclosure Form


Invention Template

When disclosing your invention you the form found below may be used to help you clarify your thoughts when carefully describing what makes your invention unique from what already exists. Do not use general statements but be very specific and detail oriented.








Invention Disclosure Form


Name: __________________________

Address: ________________________

City: __________ State: ___ Zip: ____

Phone Number: ___________________

Cell Phone: ______________________

Email Address:

________________________________

Web Site Address:

________________________________

Date of Invention Conception:

____/____/______

Invention Name:

________________________________

Please provide a detailed description of your invention:

________________________________

________________________________

________________________________

________________________________

________________________________

Please describe the steps that are involved when creating your invention:

________________________________

________________________________

________________________________

________________________________

________________________________

How do the steps interact with each other to create the whole invention?

________________________________

________________________________

________________________________

________________________________

________________________________

________________________________

________________________________

________________________________

________________________________

Describe the parts that are essential to the overall invention:

________________________________

________________________________

________________________________

________________________________

________________________________

________________________________

________________________________

________________________________

________________________________

Please provide a sketch of the invention:















________________________________
Signature of the Inventor



________________________________
Signature of Witness #1



________________________________
Signature of Witness #2





Word

PDF







Can't find the right form?

View Agreements & Notices for more free forms and templates.

A Small Business Assistant is in the office ... tell us what you want and we'll create a free template for you!