"Invention Disclosure Form"

What Is Invention Disclosure?

An Invention Disclosure Form is a document that should be completed by a scientist or a group of scientists to document an invention. Usually, the Invention Disclosure format is established by the patent department of an organization, and it assumes the use of the following structure of the form: information about the inventor, disclosure of the invention, and information about the applicant. This document usually contains a detailed description of the invention, including its purpose, unique features, usage, and advantages over the previous developments.

Alternate Name:

  • Invention Disclosure Statement.

The statement should be included as the initial part of the patent process. The Invention Disclosure Form should be submitted to an organization's patent department or a patent attorney. They use this document as a basis for preparing and filing a patent application - a request at a patent office to issue a patent for the invention presented in the form.

You can download your own Invention Disclosure Form through the link below.

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How to Fill Out an Invention Disclosure Form?

An Invention Disclosure Form must be filled in as follows:

  1. Indicate the name of your invention. Write down your full name, mailing address, phone number, and email. If there are several inventors, enter information about each one. Indicate the owner of patent rights.
  2. Indicate if the invention has been used, sold, demonstrated, or published before. Include the dates. In the case of the presence of any patents or patent applications related to this invention, you must provide information about them.
  3. Provide the purpose of this invention and describe the problems that can be solved with its use. Outline technologies that have already existed prior to your invention. Characterize the previous methods, equipment, and materials, which had been used by other inventors to achieve the same goals, state the disadvantages of these technologies. Additionally, you will want to provide the following details:
    • The physical structure of your invention. Attach photos and illustrations of the invention and rely on them in your descriptions;
    • Outline the operation, function, and usage of the invention in detail;
    • Indicate any existing alternative methods, equipment, and materials of the invention;
    • State all the features of the invention that are new and unique;
    • Indicate the advantages of this invention over the existing technologies.
  4. Be sure to include your mailing address, email, business phone number, and cell phone.

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Invention Disclosure Form
Instructions: ​ F ill each blank with the requested information or enter "NONE" as
appropriate. Where space on the form is inadequate, enter "see attached page" and use
plain pages as needed. When completely executed, this form becomes an important
legal document useful in proving the date of invention.
Part I. Basic Information.
1. Invention Title.
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Enter a descriptive title that best describes your invention
2. Inventors.
_____________________________________________________________________
Full Legal Name
_____________________________________________________________________
Mailing Address
_______________________________
_______________________________
Telephone
Email
_____________________________________________________________________
Full Legal Name
_____________________________________________________________________
Mailing Address
_______________________________
_______________________________
Telephone
Email
_____________________________________________________________________
Full Legal Name
_____________________________________________________________________
© ​
T EMPLATEROLLER.COM
Invention Disclosure Form
Instructions: ​ F ill each blank with the requested information or enter "NONE" as
appropriate. Where space on the form is inadequate, enter "see attached page" and use
plain pages as needed. When completely executed, this form becomes an important
legal document useful in proving the date of invention.
Part I. Basic Information.
1. Invention Title.
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Enter a descriptive title that best describes your invention
2. Inventors.
_____________________________________________________________________
Full Legal Name
_____________________________________________________________________
Mailing Address
_______________________________
_______________________________
Telephone
Email
_____________________________________________________________________
Full Legal Name
_____________________________________________________________________
Mailing Address
_______________________________
_______________________________
Telephone
Email
_____________________________________________________________________
Full Legal Name
_____________________________________________________________________
© ​
T EMPLATEROLLER.COM
Mailing Address
_______________________________
_______________________________
Telephone
Email
3. Owner of Patent Rights. ​ T he patent rights to the invention will belong to:
❏ The Inventor(s). ​ T he inventor(s) identified above own the patent rights (if
there are two or more inventors identified, they will have joint ownership – it is
recommended to have a company own the patent rights if there are two or more
inventors).
❏ The Company. ​ A company owns the invention and patent rights.
_______________________________
_______________________________
Legal Name of Company
State
4. Prior Use, Sale, or Publication.
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Identify any past use, sale, display, or publication of the invention
5. Related Patents or Applications.
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
List any related patents or patent applications of yours
Part II. Disclosure of Invention.
1. Purpose.
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
State the purpose of the invention
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T EMPLATEROLLER.COM
2. Prior Existing Technology.
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Describe the previous methods, materials, or apparatus used by others to perform the purpose of the
invention and give their limitations/disadvantages
3. Physical Structure.
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Describe the physical structure of your invention (if applicable)
Sketches, photos, or other illustrations should be attached to this form to fully
illustrate your invention. In the description of the physical structure, use reference
characters to refer to components in the attached illustrations.
4. Operation, Function, or Use.
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Give a detailed description of the invention's operation, function, and use
5. Alternatives.
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Indicate any alternative methods, materials, or apparatus of the invention
6. New Features.
_____________________________________________________________________
_____________________________________________________________________
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T EMPLATEROLLER.COM
_____________________________________________________________________
Identify all of the features of the invention believed to be new and unique
12. ADVANTAGES.
State the advantages of the invention over the Prior Existing Technology described in
Section 2 (Part II).
Part III. Person Submitting Form.
_____________________________________________________________________
Full Legal Name
_____________________________________________________________________
Mailing Address
_______________________________
_______________________________
Business Phone Number
Personal Phone Number
_______________________________
_______________________________
Date
Email Address
© ​
T EMPLATEROLLER.COM
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