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Disclosure Document Deposit Request
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DISCLOSURE DOCUMENT REQUEST
Inventor:_______________________________________________
Co-Inventor:____________________________________________
Title of Invention:________________________________________
Enclosed is a disclosure of the above titled invention consisting of ________ sheets of description and ________sheets of drawings. A check or money order in the amount of ______ is enclosed to cover the fee (37 CFR 1.21 (c)).
The undersigned, being a named inventor of the disclosed invention, requests that the enclosed papers be accepted under the Disclosure Document Program, and that they be preserved for a period of two years.
________________________________ _____________________
Signature of Inventor Address
________________________________ _____________________
Typed or printed name City, State, Zip
________________________________ _____________________
Signature of co-Inventor Address
________________________________ _____________________
Typed or printed name City, State, Zip
________________________________
Date
Please note that it should be clearly understood that a Disclosure Document is not a patent application, nor will its receipt date in any way become the effective filing date of a later filed patent application. A Disclosure Document may be relied upon only as evidence of conception of an invention and a patent application should be diligently filed if patent protection is desired.
The two-year retention period should not be considered to be a "grace period" during which the inventor can wait to file his/her patent application without possible loss of benefits. It must be recognized that in establishing priority of invention an affidavit or testimony referring to a Disclosure Document must usually also establish diligence in completing the invention or in filing the patent application since the filing of the Disclosure Document.
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