Invention Disclosure Form

**Please Note: Because of funding limitations currently, we are not accepting new applications. Please check back at the end of June 2017. Thank you for your understanding**


INVENTION DISCLOSURE FORM This form is for those wishing to protect an invention or process. A patent is a property right granted by the Government of the United States of America to an inventor “to exclude others from making, using, offering for sale, or selling the invention throughout the United States or importing the invention into the United States” for a limited time in exchange for public disclosure of the invention when the patent is granted.

For more information on what can be patented, please visit the USPTO page here>> Please fill out this form as completely as you can and remember to press the “Send” button when finished.

Please fill out the form below. Fields marked with * are required. The system will also send a copy to your email address.

    Your Name*

    Your Email*

    Your Tribal Affiliation*

    Please give us a short description of you and your invention

    Is your invention a device, a method of doing something, or both?*

    What problem does your invention solve? Why is your invention better than other methods or devices? Why would someone choose to use your invention?*

    Do you know of any devices or methods that already exist that are similar to your invention? If so, please give their name and describe them.*

    How would your invention be used? Who are the type of people that would use it?*

    What are the problems with current methods or devices that your invention would solve?*

    Please describe how your invention works. What are all the parts of your invention and how do they affect each other?*

    Describe how your device or method is used. Provide step-by-step instructions.*

    Have you told anyone else about your invention?*

    Have you built a prototype?*

    Do you have a drawing or plans of the inventions - even a simple sketch? (If so, please upload below)

    Have you ever attempted to sell your invention?

    Did you work with any other people, organizations, or businesses when developing your invention?*

    If yes, describe who they were, what they did to assist you, and any oral or written agreements you had with them regarding your invention.

    Please attach any images, drawing related to your invention.(gif, png, jpg, jpeg, PDF - 2MB Max)

    Please attach any other material related to your invention.

    As a requirement for assistance, NAIPEC usually requires that the invention, or a portion of any proceeds from profits arising out of the invention, benefit a tribe, tribal business, or the Native American community. Describe how the protection or sale of your work will benefit a tribe or the Native American community.*