OIPSR Forms

Patent Forms - Record of Invention

• Record of Invention Form and Disclosure Verification (pdf)
  (Revised 4/2005 - click "Shrink to Fit Page" in your printer's properties dialogue page)
• Record of Invention Form and Disclosure Verification (doc)
  - Helpful Guidelines for Completing The Record of Invention Form

Copyright Form

• Not for Publication of Scientific Papers
• Please Contact Lori-Anne Neiger (lneiger@bnl.gov or (631) 344-3035 prior to submission)
• Copyright Work Disclosure Form (pdf)
• Copyright Work Disclosure Form (doc)

Federal WFO Proposal Information Questionnaire (PIQ)

• https://sbms.bnl.gov/SBMSearch/ld/ld05/ld05e281.doc

Non-Federal WFO Proposal Information Questionnaire (PIQ)

• https://sbms.bnl.gov/SBMSearch/ld/ld05/ld05e291.doc
• - Guidance on how to properly complete the Non-Federal WFO PIQ

Financial Disclosure Form

• BNL's Financial Disclosure Form (doc) - required with all NIH grant proposals

Department of Energy (DOE) Petition for Waiver of Rights Form

• Petition for Waiver of Rights to an Identified Invention (doc)
• Petition for Waiver of Rights to an Identified Invention (pdf)

Royalty Spending Plan Questionnaires

• Please Contact Lori-Anne Neiger (lneiger@bnl.gov or (631) 344-3035 prior to submission)
• Royalty Spending Plan Information Short Form Questionnaire for Use <$20,000
• Royalty Spending Plan Information Questionnaire for Projects >$20,000
• Tech Maturation Projects

Last Modified: February 4, 2008
Please forward all questions about this site to: Lori-Anne Neiger

One of ten national laboratories overseen and primarily funded by the Office of Science of the U.S. Department of Energy (DOE), Brookhaven National Laboratory conducts research in the physical, biomedical, and environmental sciences, as well as in energy technologies and national security. Brookhaven Lab also builds and operates major scientific facilities available to university, industry and government researchers. Brookhaven is operated and managed for DOE’s Office of Science by Brookhaven Science Associates, a limited-liability company founded by Stony Brook University, the largest academic user of Laboratory facilities, and Battelle, a nonprofit, applied science and technology organization.

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