Download Patent Application Template for Free

(4.3 based on 496 votes)
As the inventor named at the bottom of this page, I hereby declare that my school
address and citizenship are listed below my name. I truthfully believe that I am the
original, first, and only inventor of the invention entitled:__________________________
I have described my invention in detail on the page attached to this application.
Declaration
I do not know and do not believe that the invention was ever known or
used in the United States of America before I invented it.
I do not know and do not believe that the invention was ever patented or
described in any book, magazine, or newspaper in any country before I invented it.
I do not know and do not believe the invention was in public use or on
sale in the United States.
Full name of Inventor ____________________________________________________________________________
Grade Level Teacher ____________________________________________________________________________
Principal__________________________________________________________________________________________
Full name of School __________________________________________________________________
Street address of School__________________________________________________________________________
City __________________________________________ State________________ ZIP______________________
Citizenship ________________________________________________________________________________________________________
Signature of inventor ______________________________________ Date____________________
For office use only
Signature of Teacher __________________________________________________________________________________________________________________________________________________________________________________________
Signature of Principal ______________________________________________________________________________________________________________
Official Application Number ____________________________________________________________________________________________________________________________________________________________________________
Patent Application
© Houghton MIfflin Company
Patent Application Template
source: eduplace.com
1 / 1 >