Forms and Agreements

Do not make substantive changes to these documents without OTC approval. Agreements are binding only if approved by OTC staff. Please contact the person listed for copies of these forms. You may also contact your case manager at (765) 588-3475 for any help you may need concerning these documents.

Permission to Engage in an Outside Activity, Form 32A – This form must be obtained from the business office at your school or department.

Technology Disclosure Form  – This form is used for disclosing intellectual property to the Office of Technology Commercialization. The disclosure document is to be prepared and submitted by the inventor(s), and is then completed in conjunction with OTC. It provides the basis for an assessment of patentability and market opportunity; a fully completed Technology Disclosure Form triggers the 6-month Innovation Assessment Process within OTC.

If you, or anyone else, plan to make any kind of public disclosure of your technology within the next 4 weeks, please contact OTC at (765) 588-3475 to speak directly with a Project Manager.

Copyright Disclosure Form
Contact:  Senior Technology Manager, (765) 588-3475

Open Source Distribution Copyright Form
Contact:  Senior Technology Manager, (765) 588-3475

Inventor Information Form
Contact:  (765) 588-3475

Plant Variety/Germplasm Disclosure
Contact:  (765) 588-3475

Confidential Disclosure Agreement (CDA) – This form is used for disclosing unpublished, unpatented information to a third party.  A CDA is designed to maintain the confidentiality of ideas, inventions, etc. It must be signed by all parties involved. Contact the Office of Technology Commercialization before you discuss your ideas or invention with anyone outside the university. Contact: Agreement Coordinator, (765) 588-3475

In order to ensure the security of your personal information, the following two forms must be printed out and then hand-delivered to Accounting Division, Purdue Research Foundation:

Request for Taxpayer Identification (W-9)

Certificate of Foreign Status of Beneficial Owner for US Tax Withholding (W-8BEN)

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