Academic IP Disclosure Checklist
1. Inventor Information
Name(s):
Department/Institution:
Email:
2. Invention Details
Title of Invention:
Brief Description:
Date of Conception:
Date of First Written Record:
3. Prior Art / Related Work
Please list known related patents, publications, or similar inventions:
4. Funding & Sponsorship
Was this invention funded or sponsored?
Grant or Contract Number(s):
Sponsoring Organization(s):
5. Public Disclosure
Has this invention been publicly disclosed? (e.g., publication, presentation, poster, etc.)
Details (Date, Venue, etc.):
6. Potential Applications & Benefits
Potential uses or applications:
Key advantages over existing methods/technologies:
7. Additional Notes