UW-Madison Innovation Disclosure
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Your Email:
A Password:
Confirm Password:
Who is your IP Manager at WARF?
Leave blank if you do not know
IPM Email
IPM User Id
WARFWeb User Id (Used to populate Lead Owner when an IPM is not selected above)
WARFforce Campaign Id
At least one innovator must be affiliated with UW-Madison or the Morgridge Institute for Research
Innovators
First Name
Please list all innovators who made substantive contributions to the innovation while noting that the final list of innovators may change based on intellectual property laws.
x
Last Name
Email
Primary UW Department
If no UW affiliation, please list current Institution, Company or Organization.
Job Title
Display Order
Innovation Details
Title
Description
Briefly describe the innovation and/or attach a description. Additional information such as key features and new developments you made are helpful to include. This information will be used by the University and may be provided confidentially to funding entities per contractual obligations.
x
Attachments
Why is this innovation better or needed?
Please describe the advantages of your innovation when compared to existing solutions. Such information could include addressing limitations of current products, providing a potential cost savings, or improving outcomes.
x
How do you envision this innovation being implemented or applied?
Please provide exemplary uses of your innovation, including commercial products and services as well as non-commercial uses (e.g., academic research). Your comments will be useful in identifying potential fields of use, markets, and licensing partners.
x
Presentations and Publications
Dates and brief descriptions of any non-confidential presentations, publications or Internet postings.
In the past
When and to whom?
x
Planned in the future
When and to whom?
x
Include Funding Detail (This section is required, but if you are unsure, it can be completed at a later date.)
Contracts and Funding Support
When did you begin working on this innovation?
When did you first demonstrate the innovation?
Federal Contracts
UW Project ID (i.e., 144-XXX0000 or 144-PRJ00XX), Federal Sponsoring Agency, Grant/Contract No.
Type “None” if no contracts apply
x
Non-Federal Contracts
UW Project ID (i.e., 133-XXX0000 or 133-PRJ00XX), Non-Federal Sponsoring Entity, Grant/Contract No.
Type “None” if no contracts apply
x
Please list any MTAs, CDAs, Software Licenses or other contracts that apply to your efforts in making this innovation
Type “None” if no contracts apply
x
Is any innovator listed above a Veterans Administration "Dual Appointed Personnel"? If so, list the time frame of their appointment.
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Confirmation Email Address
Please enter the email address that should receive the confirmation email of this form submission. WARF recommends that the recipient of the confirmation email forward the email to each innovator listed above for their records.
x
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