Office of Research &
INVENTION DISCLOSURE FORM
ursuant to Florida Gulf Coast University (FGCU) Intellectual Property Policy (Policy No. 2.002), “The University is
implementing this authority through this Intellectual Property Policy, which requires that all Florida Gulf Coast University
employees disclose certain works and inventions that are developed or discovered while affiliated with the University.”
is form is used to disclose generally patentable materials of an invention. All questions included in this disclosure
form are important. It is required that the leading inventor provide information to all questions with adequate details.
You may provide attachments as necessary.
f you have any questions, please contact the Office of Research & Graduate Studies (ORGS) at email@example.com
Please forward the completed form to firstname.lastname@example.org.
SCRIPTION OF INVENTION
1. Title of the Invention
2. Description of the Invention (< 250 words)
3. Does your invention have any practical applications in solving practical, real-world
YES; please specify.
4. Will your invention result in any commercializable product(s)?
YES; please answer the following questions:
4a. Specify/describe the product(s).
4b. Provide estimated timeline to commercialize the product(s).