Research Collaboration IP Disclosure Form
Project Information
Project Title
Project Description
Collaboration Partner(s)
Collaborating Institution(s) / Organization(s)
Inventor / Author Information
Name
Department / Affiliation
Email
Other Contributors
Intellectual Property Details
Type of IP
Patent
Copyright
Trade Secret
Design
Other
Title / Brief Description
Date of Conception
Has the IP been disclosed or published?
Yes
No
If yes, provide details
Is there any third-party funding/support?
Yes
No
If yes, specify sponsor(s) and contract/grant number(s)
Additional Information
Comments / Notes