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Title of invention *
Brief description of invention (What is it?) *
Has this invention been disclosed (talked about with, or explained to) someone outside of the University (not including co-inventors)? When? Where?
Does anyone plan on disclosing this invention in the near future?
Was extramural funding used in the course of the work leading up to this discovery? Were extramural materials used? Please list all non UR funding sources and materials. Examples include state or federal grants, foundation grants, or corporate-sponsored research. Reference grant numbers, research agreements, and Material Transfer Agreements, if known.
Please attach one document (5 MB, or less) that best describes the invention, if any. Additional documents (or documents larger than 5 MB) may be sent separately to TechTransfer@urmc.rochester.edu.
Your full name *
Your primary department *
Your e-mail address *
Information about co-inventor(s), if any. Please include name, primary department, e-mail address, and organization (if other than University of Rochester). If there are no co-inventors, please enter “none.” *
I have read, understood, and accept the University’s policies surrounding IP, invention disclosures, assignments, and revenue sharing.
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