Notice. Note: When completed, the Invention Disclosure Form is an important legal document. Care should be taken in its preparation. Please refer to accompanying instructions. If you desire assistance, please call or email the UC Merced Office of Technology, Innovation, and Industry Relations (OTIIR) at (209) 382-4488 or inventions@ucmerced.edu. Information contained in this document is maintained in confidence by OTIIR and normally will not be released to others except with attorney client privilege, to research sponsors as required by contract or under appropriate secrecy agreements, until a patent application is issued, the information is published, a determination not to file a patent application is made, or as may be required by law. The information contained herein should not be disclosed to others outside the University, except as described in Section 8, without the approval of the OTIIR. It is not the practice of the University to send your Invention Disclosure to other University employees for peer review.

Any electronically signed signature is as legally binding as a handwritten signature. Electronic signatures will have the same force and effect as handwritten signatures.

Two (2) signatures by technically qualified witnesses are required upon completing this form.