The purpose of this form is to facilitate the prompt disclosure by Emory Personnel of any research tool to which Emory may assert ownership rights pursuant to Section I of the Emory University Intellectual Property Policy (adopted June 6, 2002).
10. Please list any publications or articles which describe the development or use of the mouse model.
11. Please attach a list of any commercial entities that may be interested in this mouse model (provide as much detail as possible)
I (we) hereby declare that all statements made herein of my own knowledge are true and that all statements made on information and belief are believed to be true.
Pursuant to the Emory University Intellectual Property Policy, I (We) hereby confirm the assignment of all of my (our) right, title and interest to this Intellectual Property to Emory University and agree to execute all documents as requested, to assign to Emory University all of my (our) rights to any patent application filed on this Intellectual Property, and to cooperate with the Emory University Office of Technology Transfer in the protection of this Intellectual Property. Emory University will share any royalty income derived from the Intellectual Property with the inventor(s) according to its standard policies. (Please attach any additional signatures.)