Download Forms
All forms are all available at the MIT TLO office, Room NE18-501, or you can print a copy from the links below and mail it to our office.
Some forms may require Adobe Reader software. Click on the Adobe icon to download Adobe Reader.
If you have any questions regarding these forms, please call 617-253-6966 or stop by NE18-501 for more information.
Technology Disclosure Forms
Use these forms if you have an invention you wish to disclose to our office.
MIT
Campus Technology Disclosure Form*
Lincoln
Laboratory Technology Disclosure Form
Biological and Tangible Material
Disclosure Form
Use this form if you are disclosing biological and tangible
materials.
Disclosure
Form for Biological and Tangible Materials
Software Code Disclosure Forms
Use these forms if you have software code you wish to disclose
to our office.
MIT
Campus Software Code Disclosure Form*
Lincoln
Laboratory Software Code Disclosure Form
Non-Disclosure Forms
These agreement forms must be signed to protect confidential information about a technology when discussing it with an outside party.
One
Way In [PDF]
One
Way Out [PDF]
Two
Way [PDF]
Material Transfer Forms
If you are transferring biological material from MIT to another
non-profit institution, you must fill out the Simple
Letter Agreement for the transfer of materials. Please note
that an authorized member of the TLO must sign these agreements.
If you are transferring biological material from MIT to a for-profit
institution please contact the TLO at 617-253-6966 to speak
with one of our licensing officers.
Inventions and Proprietary Information Agreements
Inventions
and Proprietary Information Agreement (for MIT Employees
and Graduate Students)
Every MIT employee is to sign this form upon joining MIT.
Visiting Scientists
All Visiting Scientists (professors, scholars,
and research affiliates) who are involved in research at MIT
are required to sign a Visiting Scientist Invention and Proprietary
Information Agreement. We would appreciate it if the appropriate
form could be completed either before the arrival of the Visiting
Scientist or within the first week of his/her arrival.
Visiting
Scientists with no sponsored research agreement
To be signed by Visiting Scientists who will be working at MIT
and whose company or institution does not have
a sponsored research agreement with MIT.
Visiting
Scientists with sponsored research agreement
Visiting Scientists whose companies do have
sponsored research agreements with MIT.
Other Forms
Conflict
Avoidance Statement [PDF]
If you hold equity in a company with which MIT has a license
agreement.
No Significant Use of MIT Facilities or Funds
Submit this form if you feel MIT cannot or should not claim ownership rights to your invention. MIT does not assert rights to your invention if it was developed without the use of sponsored research funds or significant use of MIT administered facilities/funds.
Thesis Waiver
Submit this form if you feel MIT
cannot or should not claim
copyright ownership rights to
your thesis. MIT does not assert
rights to your thesis if it was
authored without sponsored
research funds and without
significant use of MIT
administered facilities/funds.
Please note that any such waiver
of the Institute’s copyright
shall be subject to a
royalty-free grant from the
student to the Institute to
publicly distribute copies of
the thesis, in whole or in part.
* All MIT inventors must print out and sign the completed
form. Please forward the printed form to our office to
complete the submission process. Electronic submissions will
not be accepted by the TLO.
