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License to United States Government

All fields marked with an asterisk (*) are required. Fill out the fields below then choose "Submit" to generate a printable version of the License to the United States Government form. Print the document using your browser's "print" function. The printed license can be completed by signing and submitting the executed document to the appropriate funding agency (e.g. upload in iEdison).

Help    License Form
Invention Title
Inventor(s)
Patent or Application Serial No.
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U.S. Filing/Issue Date
Grant/Contract Number(s)
Foreign Applications filed/intended in (countries)
Grantee/Contractor Organization
Business Address
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IEDISON- 1015