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Instructions for Handling the Form
Note that you cannot submit forms directly over
the Internet or via email because your signature is required.
| 1. |
Download the form to your desktop: choose "Save As," select "text" format; |
| 2. |
Open the form using a word processing program. |
| 3. |
Fill it out. |
| 4. |
Print it. |
| 5. |
Sign it. |
| 6. |
Make a copy for each inventor. |
| 7. |
Send signed original by campus mail to: Office of Technology
Management – Box 1209 |
| Or: |
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| a) |
fax signed document to 415-348-1579 with signed original to
follow, |
| b) |
send via e-mail to any licensing officer, with signed
original to follow |
Instructions for Filling Out the Form
| 1. |
Provide a title that says, in
10 words or less, what the invention is and what it does. |
| 2. |
Include material which covers the following
points: |
| |
a. |
Background. |
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b. |
Technical description of invention and its
use(s); |
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c. |
Novel features, advantages, and improvements
over existing methods, devices, or materials; |
| |
d. |
Possible variations and modifications that
you can imagine; and |
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e. |
Background: related publications or bibliography
and related patents (if known). |
| 3. |
List complete details for each
person who contributed to the invention, including any contributors
from institutions outside of UCSF. |
| 4. |
Give the names and full contract
or grant number(s) of the sources of funds used to support the
work resulting in the invention and provide the name of the investigator(s)
named on the contract or grant. |
| 5. |
Take care to record legally important
events of conception (B), the first actual reduction to practice
(C), and the establishment of a publication bar (D and E). (A
publication bar is established when, for example, you publish,
disclose or electronically or otherwise transmit information
about the invention to anyone at a conference, in a journal,
an abstract, a computer data base, or in a non-confidential seminar.) |
| 6. |
List any proprietary material
that was used in the work that resulted in this invention and
that did not originate at UCSF. |
| 7. |
List companies which you think
might be interested in using, developing or marketing this invention. |
| 8. |
Obtain original signatures from
each UCSF employee listed in item 3. |
| 9. |
Obtain original signatures from two witnesses who
have read and understood this completed disclosure form. Any
investigator(s) listed in 4 as contract supervisors and/or primary
investigators named on grants who are not also contributors listed
in 3 must witness the invention disclosure. |
If your invention involves two or more inventors, please also print and
fill out the Income Distribution Agreement Form.
Send completed forms to:
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UCSF Office of Technology Management
University of California
745 Parnassus Avenue, Box 1209
San Francisco, CA 94143-1209
phone: (415) 502-7537
fax: (415) 502-8248 |
General Information
A disclosure form must be prepared and submitted for each invention
conceived or first actually reduced to practice pursuant to University
of California Patent Policy. A disclosure form should be prepared
and submitted when something new and useful has been conceived or
developed, or when unusual, unexpected, or otherwise non-obvious
research results have been achieved that have utility.
An invention is a novel and useful idea relating to processes,
machines, manufactures, and compositions of matter. It may cover
such things as new or improved devices, circuits, systems, chemical
compounds, drugs, etc. To be patentable, the invention must not be
obvious to a worker with the average skills in that particular technology.
In addition, it must not have been used by others in this country,
or patented or described in printed publication anywhere, prior to
the date of conception
Please have the written record of the work that resulted in the
invention signed and dated by the inventor, and witnessed and dated
by a non-inventor scientist. The written record may be lab notebooks,
ideas book, correspondence, etc.
The purpose of the disclosure form is to record what was invented
and the circumstances under which the invention was made. It provides
the basis for a determination of patentability and the data for drafting
a patent application. It is a legally important document which should
be read carefully before you sign it. Distribution of copies of a
disclosure form to third parties is expressly prohibited, however,
the technical description provided on the disclosure form is sometimes
shared with prospective licensees with a confidentiality agreement.
Although each invention begins as an idea, the inventor should
demonstrate feasibility by reducing the idea to practice with experimental
data and/or working prototypes. In general, an invention that is
prophetic in nature should be further developed by the investigator(s)
before it is submitted. The OTM uses material evidence that provides
proof-of-concept as a major factor in deciding whether to file a
patent application and market the technology for licensing. Senior
OTM staff are always available to talk with investigators about their
specific cases and advise investigators about the appropriateness
and timing of filing a disclosure.
A US patent application must be filed no later than one year after
public disclosure. In most other countries, filing must take place
before public disclosure.
For more information about patents, copyrights,
procedures, and policies, see: UC Policies on Copyrights and Patents,
and Working with OTM
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