INVENTION DISCLOSURE
1.	INVENTORS	
List ALL the inventors and their percentage of ownership on the invention.
	
Inventor	% Ownership	Title	Department 
Institution/
Enterprise	Phone	Email	

						

						
						
A copy of contract must be attached for non-permanent staff (eg. fellows)	
Contact details of the Main Inventor (for future correspondence with the office. He must intend to act also in the name and on behalf of the other co-inventors, of this assuming full responsibility):	

	

*) ex art. 4 of Regolamento “In the event that Inventions are obtained with the participation of persons who do not belong to the University of Florence, where the case is not already regulated by a prior agreement, the University must obtain written notice from these persons in order to demonstrate the full availability of the right with respect to their respective institutions”.

2.	INVENTION	
a. Title
A brief description that identifies the invention (maximum of ten words)
	
b. Description of invention (if possible attach a copy of drawings, designs or patterns)

1) Describe the technical problem to be solved and the closest prior art (what is now the solution for the technical problem?)

2) Limits, problems and disadvantages of the closest prior art

3) Description of the invention (components, techniques, procedures, treatment of inputs, outcomes, etc)

4) Description of how the technical problem is solved by the invention  

5) Highlight advantages and improvements with reference to materials, methods and tools of the existing prior art
	
c. Date of invention (actual conception not implementation)
	
d. What is the stage of development of the invention and the state of the project? (Idea, prototype)
	
e. Are there any proofs of inventiveness activities?
	
f. Is there documentary evidence?

g. Are there upcoming disclosure of invention events? (workshops, publications, etc.)	

3. OF RESEARCH FUNDING	
Was the invention developed using special research funds? □ Yes  □ No    	
Provide the contract number or grant, the project title, the principal investigator of the project if the invention was conceived in connection with said research funds. Report all possible sources of funding analytically	
Number of contract	Owner of Funds	Title of the project	Principal investigator	Date	

					
					
b. Are there any other contracts relating to the invention?  (es. material transfer agreements,)?  □ Yes  □ No    	

4.	PRIOR ART SEARCH & MARKETING
Some databases: esp@cenet (www.espacenet.com), ORIBIT (www.orbit.com)
	
a. Results of similar technologies:
	
b. Bibliography of publications correlated to the work
	
c. Are there any publications related to the invention published by the inventors?
	
d. What is the potential commercial value of the invention?
	
e. What is the target market?
	
f. Point the market’s trend
	
g. Provide information on the life cycle of the product in order to evaluate more objectively the potential value of the patent
	
h. Indicate any companies contacted, as well as those active in the field of research, or who you think might be interested in developing a production line based on the invention	

5.	Signatures	
By signing this document, I confirm that:
- I have read the notes and that the above information is correct and accurate;
- That all the inventors have taken note of this description of the invention;
- The identification of the Main Inventor;
- I am obliged to absolute confidentiality regarding the subject matter of the invention, except for the possibility to publish / disseminate the data in a time subsequent to the filing of the patent application;
- I know the internal rules of the University of Florence on intellectual property (for external inventors)
- I am/We are the sole and exclusive authors of the invention;
- The respective shares of contributions are hereby entirely declared;
- There are no quotas for contributions to the finding by other subjects not covered by section 1 of this document and therefore rights of others derived from it except for those sub section 1;
- The University of Florence cannot be held liable if third parties not included in Section 1 of this document were to oppose their share of contribution to the invention;
- I authorize the University to process the data contained in this document, in compliance with the principles of lawfulness, correctness, transparency, adequacy, pertinence and necessity pursuant to article 5, paragraph 1 of the General Data Protection Regulation (GDPR), in any case and at any end in any case related to the exercise of the rights of the undersigned and of the University in relation to the notified communication, including the possibility of publishing data and/or their aggregate and/or specific representations, for the entire duration the duration of the title, and the communication to external consultants appointed by the University for the procedures of deposit and maintenance of the title;
- I undertake to provide the information and assistance required by the competent offices of the University and their representatives for the tests aimed at determining the patentability and assess the potential of this result;	
Name: 			        Date:
Home address:

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