Invention Disclosure Form
[Title of the Invention]
CONFIDENTIAL – Invention Disclosure Form
Formal information
Inventor(s)
Please list all inventors here.
Name:
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Address:
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Phone:
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E-mail:
Workplace: ........................................
Department: .......................................
Signature: ...................................................
Name:
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Address:
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Phone:
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E-mail:
Workplace: ........................................
Department: .......................................
Signature: ...................................................
Name:
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Address:
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Phone:
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E-mail:
Workplace: ........................................
Department: .......................................
Signature: ...................................................
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CONFIDENTIAL – Invention Disclosure Form
This CONFIDENTIAL FORM is used to disclose an invention or an innovative idea.
This can be a method, device, software, new material, system, etc. Please respond
to each question even if the answer is “Not applicable” or “None”. The Technology
Transfer Office will review the document and contact you within 5 working days.
Description of the Invention
Short, non-confidential summary of the Invention (maximum 200 words)
Background of the Invention
What problem do you want to solve with this invention? How is this issue resolved in previous
solutions? Which R&D project(s) have been part of (lead) to developing the idea/invention. Which
partners have been part of the development (e.g. brought in competence and/or financing)? Has the
technology or parts of the technology been published (scientific literature, poster, PhD or other thesis,
teaching material, presentation, publicly available grant proposal, discussion with external parties such
as industry, etc.).
Description of the invention (minimum 1 page)
Provide a detailed description of the technology including but not limited to structure, parts, elements,
drawings, graphs, materials, functions, test results, prototypes, etc. and describe how the technology
works. Please attach all and any documentation concerning the invention.
Known techniques
What technologies are available or under development today providing a solution for the same
problem? Who are the suppliers of these technologies (name of these companies and their location)?
Why is your technology better, more advantageous and applicable than what is available? Are you
aware of any national or international regulatory rules what needs to be taken into consideration when
developing the service or product (does it need to be approved by authorities, do you need to certify
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CONFIDENTIAL – Invention Disclosure Form
it, etc.)?
Current Status
Will the inventor(s) fully or partially publish the technology within the next 30 days? Have you made
any prototypes? What are your current plans for continuation and what do you need to realize these
plans (financing, human resources, facilities, etc.)?
Technology Readiness Level (TRL)
Please underline the TRL level that best describes the current status of the technology development.
TRL 1 – basic principles observed
TRL 2 – technology concept formulated
TRL 3 – experimental proof of concept
TRL 4 – technology validated in lab
TRL 5 – technology validated in relevant environment
TRL 6 – technology demonstrated in relevant environment
TRL 7 – system prototype demonstration in operational environment
TRL 8 – system complete and qualified
TRL 9 – actual system proven in operational environment (competitive
manufacturing)
Commercial Perspectives
How do you envision bringing the technology to the market (startup company, together with an
established firm, through what R&D steps, etc.)? How much will the development cost (in NOK)? Who
are the customers (names of companies, their location, their current suppliers, etc.)? What is the
value of this technology (how much in NOK would it worth to a potential buyer when developed into a
product and how much revenue can it generate)? Will the technology be brought to the market on its
own or in combination with other technologies?
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CONFIDENTIAL – Invention Disclosure Form
Attachments (drawings, articles, publications, contracts, etc.):
Nr.
Name of the attachment:
Place /Date .........................................................
Please send to [email protected] or deliver to Validé AS at Richard Johnsens gate 4.,
4021 Stavanger.
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