This is a confidential, proprietary, non-public university record that may not be disclosed outside the University without the approval of the Vice President for Research and Creative Scholarship and the Graduate School Dean.


The purpose of this form is to provide a written, dated notice of your invention or discovery and comply with the MUS Board of Regents’ Patent Policy (available at: A disclosure may also be required in order for UM to meet its obligations arising under federal law and/or to comply with third party contractual requirements.

The Principal Investigator (PI) or lead inventor who is responsible for the development of this invention should complete the Invention Disclosure Form. However, all co-inventors listed in Section 1 must review and sign the Invention Disclosure Form.

  • Please answer the questions with as much detail as possible. Attach additional pages and/or rows to applicable fields as necessary.
  • The PI or lead inventor must sign an original Invention Disclosure Form. 
  • Upon receipt, the Office of Technology Transfer (OTT) will date stamp and assign a file number to the invention disclosure for reference purposes. The disclosure will then be reviewed by the Tech Transfer Committee.

If you have any questions, please email