ࡱ>  bjbjcTcT 4>>&??8LKz'ggggg&&&&&&&$r(+&i&??gg44'   j?Rgg& &  : %,"%g@g3j9% &J'0z'C%R++%+% q &&z'+ : FLORIDA A&M UNIVERSITY OFFICE OF TECHNOLOGY TRANSFER INVENTION DISCLOSURE FORM Docket Number_______________ (For OTT use only) 1.THE INVENTION: (Provide a concise statement of the Invention Title) 2.CRITICAL DATES OF THE INVENTION Conception: Date of first written description: Reduction to Practice/ Invention Date: Any Pending deadlines? Any publications (pending/submissions) of the invention anywhere (including the web)? If yes, when, name of publication (attach copies). Any public use/disclosure of the invention outside of 91? If yes, provide date, name and contact information F. Any sale or offers to sell the invention?  3. PARTIES WORKING ON (AND DEVELOPING) THE INVENTION*  Researcher at FAMU Non-researcher, outside of FAMU working on the invention Researcher outside of FAMU NameDepartmentHome addressCityStateZip CodeCitizenshipWork phoneFaxHome phoneEmail*Contribution to inventive concepts.  Researcher at FAMU Non-researcher, outside of FAMU working on the invention Researcher outside of FAMU NameDepartmentHome addressCityStateZip CodeCitizenshipWork phoneFaxHome phoneEmail*Contribution to inventive concepts. **If more than two inventors please use additional sheets. 4.PROVIDE A DETAILED DESCRIPTION OF THE INVENTION The description should include the problem to be solved or purpose; how the invention works; advantages of the invention; and closest prior art. 5.Attach copies of any documents that illustrate the date of invention such as lab notebooks or dated photographs6.Has the invention been made or tested?Yes / NoIs test data available? If yes, please attach copiesYes / No7.FURTHER RESEARCH CONTEMPLATED What work remains to complete development?8.List all relevant prior art (publications, relevant patents, patent numbers, etc.)9.SOURCE OF FUNDING (If more than one, please attach additional sheets)Government Agency/ Company/ FoundationContract/ Grant #Contact PersonAddressCityStateZip Code10.COMMERCIAL AND COMPETITIVE ADVANTAGEDo you know of any organizations or companies that would be interested in Licensing the invention? 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