Inventor Application

Before submitting the application, please note that it is understood and agreed to that the below identified discloser of confidential information may provide certain information that is and must be kept confidential. To ensure the protection of such information, and to preserve any confidentiality necessary under relevant patent laws, it is agreed that by submitting the Inventor Application to the Florida Patent Pro Bono Program, the Program and its administrators will treat all information submitted in the application as confidential. The Florida Patent Pro Bono Program and its administrators agree not to disclose the confidential information obtained from the inventor to anyone other than legal counsel, patent professionals who participate in the Florida Patent Pro Bono Program and their agents unless required to do so by law.

Inventor Information
Company Information
Financial Information
Invention Information
Development Information
First Successful Test or Operation
First Outside Disclosure
First Commercial Use or Sale
**Examples of common costs include but are not limited to all government filing fees and patent application drafting costs.
By signing and submitting this application, I understand and acknowledge that all information provided herein is accurate to the best of my knowledge. I understand that I may be asked to provide further information in order to be considered for this program, and that acceptance into the program is at the sole discretion of the program administrator. I further understand that the Florida Patent Pro Bono Program and its administrators agree to treat all information contained in this application as confidential and agree not to disclose the confidential information obtained herein other than to legal counsel, patent professionals who participate in the Florida Patent Pro Bono Program and their agents unless required to do so by law.

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