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Confidential Disclosure and Record of Invention

**Completion of this form does not make you a client of the firm or obligate you in any way whatsoever

  • Please review the following guidelines for describing your invention to us:

    (Where the invention is a device, apparatus, assembly, etc.)
    • Describe the purpose / function of the invention
    • Describe the structural elements / components
    • Describe step-by-step how the invention is constructed / assembled (optional)
    • Describe any interaction / cooperation of components, e.g., during use
    • Describe the environment in which the invention is intended for use
    (Where the invention is a method or process)
    • Describe the minimum number of steps (in detail) required to carry out the method of the invention.
    • Describe additional and/or alternative steps that may be included
    • For quantifiable variables (e.g., time, temperature, composition, etc.), provide maximum and minimum values and/or value ranges, as well as preferred values and/or value ranges
    • Describe possible variations in the order of the method steps
    • Describe the purpose / function of the invention
    *If your invention is a new software program, computer-implemented algorithm, or internet-based method or process, please call our office and request our specialized disclosure form specifically geared for such inventions.

    Click INSIDE the boxes below to fill in your answers (if text in boxes does not automatically disappear just highlight and delete it)
  • If you have any additional elements (hand sketches, computer drawings, pictures, etc.) please send them in a separate email to Include your first and last name with the attachments.

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