CONFIDENTIAL INTELLECTUAL PROPERTY DISCLOSURE

1.  a) Inventors:

SURNAME, GIVEN NAMES / DEPARTMENT AND POSITION (e.g. faculty, PDF, student, staff, or external employer) / BUSINESS CONTACT INFORMATION (phone, e-mail) / CURRENT HOME ADDRESS AND CITIZENSHIP

1.  b) Non-Inventive Contributors:

If applicable, please list other individuals who have made a significant contribution to this Intellectual Property but whose role was not substantially “creative” in nature. For clarification please discuss with Manager, Technology Transfer & Commercialization.

SURNAME, GIVEN NAMES / DEPARTMENT AND POSITION (e.g. faculty, PDF, student, staff, or external employer) / BUSINESS CONTACT INFORMATION (phone, e-mail) / CURRENT HOME ADDRESS AND CITIZENSHIP

2.  How was the work leading to this Invention funded?

SPONSOR(S) / GRANT OR CONTRACT FUND #

3.  Where did the work leading to this Intellectual Property take place (UOIT or elsewhere)?

4.  Please describe where and how this invention is documented (lab notebooks, computer files, photographs, charts, correspondence regarding invention, etc.)

5.  Have these results been presented or published in any form?

(For clarification on confidentiality please discuss with Manager, Technology Transfer & Commercialization)

6.  Brief Description:

(Please highlight the novelty and potential applications of this Intellectual Property; attach a separate sheet if necessary)

7.  Is this Intellectual Property subject to any 3rd party materials that may have been used during development such as software, commercial plasmids, MTA agreements or under research contracts with partners external to UOIT?

______NO

______YES (If “Yes”, please provide details)

8.  Warranty:

I/We, the Inventors listed in Section 1(a), have read, understood and agree to all of the preceding and declare that all of the information provided in this disclosure is complete and correct. To the best of our knowledge, all persons who might legally make an ownership claim in this Intellectual Property are identified in Section 1(a).

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Invention Disclosure Process

Under UOIT’s Intellectual Property Policy, Academic personnel own the Intellectual Property they create but are obligated to disclose it to the Office of Technology Transfer and Commercialization. If the creators choose to offer the Intellectual Property to the University for commercialization, the University reserves the right to determine at its sole discretion if it wishes to accept such intellectual property for commercialization.

If UOIT accepts the technology for commercialization, the creator(s) of the invention will then enter into an agreement with UOIT in which the creator(s) assign all Intellectual Property rights and other rights to UOIT. UOIT assumes sole responsibility and authority for legally protecting and marketing the intellectual property, finding a licensee or buyer, and negotiating a license or sale and administering that agreement. The University shall share with the creator(s) revenue derived from the licensing or sale of the technology.


For more information about your rights under UOIT’s Intellectual Property policy please visit the following website http://research.uoit.ca/EN/main/231307/research_policies.html .

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