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iEdison: Invention Disclosure Report
NIH\SALZMANJ | John Salzman iEdison Accounts Administrator
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Invention Report Form
Invention Report
This number will automatically be generated by the iEdison system.
Number
*
Grantee/Contractor DAN'S INSTITUTION
Organization
Organization DUNS 123456789
*
Grantee/Contractor
Organization Code
7654321
Research Tools
Guidelines
Agreement
Accepted Date
(mm/dd/yyyy)
Invention Docket
Number
* Invention Title
Invention
Keyword(s)
* First Name
Middle Name
* Last Name
* Inventor
* Invention Report
Date
(mm/dd/yyyy)
Disposition Rights
Date
(mm/dd/yyyy)
* Primary Agency
(Agency this report
will be submitted
to)
* Funding
Agreements
Help with Formats
Select One
* Agency Designation * Grant/Contract Number
Select One
Subcontract
Information
Title Extension
Years
One Year
Extension to File
Initial Patent
Application
0
No
Yes
Date of First
Publication, Sale,
or Public Use
(mm/dd/yyyy)
Explanatory Notes
Government Notes
Title Election Date
* Invention Status
Not Elect Title
Reason
(mm/dd/yyyy)
Under Evaluation
Select One
Not Elect Title
Other Reason
Name of Third
Party to Which Title
is Waived
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2/10/2015
iEdison: Invention Disclosure Report
Waiver Date
Final Invention
Rights
Determination
(mm/dd/yyyy)
Select One
Parent Invention
Report Number
Organization Code
for Other
Organizations to
View Invention and
Related Patents
Invention
Disclosure
Document Type
Select One
To appropriately protect Personally Identifiable Information (PII) of your staff/personnel,
you should review your submissions and redact information as appropriate prior to submitting to iEdison.
Invention
Please include a permanent identifying number within the uploaded disclosure (e.g. iEdison Invention Report [EIR] Number: XXXXXXXXXXXXX) to permanently associate the upl
Disclosure File
Report record.
Location
Choose File No file chosen
To add a text file, paste a document here. Use ASCII text only. Maximum of 20 pages; text will be truncated if it is longer.
Invention
Disclosure Text
Invention
Disclosure Receipt
Date
(mm/dd/yyyy)
Invention
Disclosure Reject
Date
(mm/dd/yyyy)
Invention
Disclosure Reject
Comment
Click on Predefined reject reason list below, to add to reject comments.
1.Invention Docket Number does not match.
2.Invention Title is missing.
3.Invention Title does not match.
4.Inventor missing from document.
5.Inventor listed within the document does not match.
Upload Other Please click on the file name to view.
6.All Inventors are not listed within the document submitted.
Document
7.Grant Number(s) is missing.
File
* Document Name
* File Location
* File Type
* Document Category
8.Grant Number(s) do not match.
Name
9.The Invention Description needs to be more detailed. The description submitted does not satisfy CFR 37 Sec.401.14(c)(1).
10.Document Submitted is not an Invention Disclosure.
Choose File No file chosen
Select One
Select One
11.Document submitted was a disclosure pertaining to a different invention.
Creator
* Any uploaded documents will be visible to all agencies that have funded the Invention.
* Upon uploading each document, in order to complete the reporting submission, you must also send an email to the Primary Agency identifying the type of document uploaded a
Invention Record or Patent Record.
* Maximum 20 documents can be uploaded.
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File Type | application/pdf |
File Modified | 2015-07-09 |
File Created | 2015-03-09 |