Creative Work Disclosure
UNIVERSITY OF ULSTER – CONFIDENTIAL
This form should be completed and submitted to Department of Research and Innovation (R&I) if you believe you
have developed a Creative Work which is capable of commercialisation. The purpose of this form is to enable
R&I to evaluate whether legal protection to the Creative Work will be sought and/or commercialization pursued.
Please submit the completed form with all creators’ signatures to Sinead Hunter in R&I (s.hunter@ulster.ac.uk).
For further information, please visit the R&I web site at http://oi.ulster.ac.uk/.
A Creative Work may attract legal protection under UK copyright, design or trade mark law. Copyright arises
automatically and can be used to protect any original works such as original literary works (tables or
compilations, computer software programs and databases), dramatic works (dance or mime), musical works
(music exclusive of any words or actions ) and artistic work (graphic works, photographs, sculptures, collages
irrespective of artistic quality, works of architecture and works of artistic craftsmanship), sound recordings, films,
broadcasts and typographical arrangement of published editions. In addition, design products can be protected
by design rights for the appearance of the product and trade mark rights allow you to protect creative works such
as names, logos, advertising jingles, slogans, shape of goods or packaging.
(Note: This disclosure will be treated as confidential except for any information that has been designated otherwise. This
disclosure will not be divulged to others (with the exception of those individuals involved in the evaluation process) without a
proper Confidentiality Agreement in place.)
Details of the Creative Work
1. Descriptive title of the Creative Work:
2. Type of Creative Work: Please tick below the work(s) that best reflects the type of creative work
you have made:
Literary (Software)
Sound Recording
Design Product
Literary (Other)
Film
Broadcast
Dramatic
Musical
Artistic
Typographical arrangement of published editions
Trade Mark/Logo/Brand
Other
3a. Date Creative Work started:
3b. Date Creative Work completed:
3c. Date of first written description:
4a. Is a thesis/dissertation involved? Yes/No
If Yes, please provide the following details:
4b. Full Name of Student:
4c. Expected Graduation Date:
4d. Is the contents of the thesis subject to a Declaration of Confidentiality? Yes/No
If Yes, what date will it expire?
5. Please provide key words and/or phrases that can be used for searching/marketing purposes:
6a. Please provide a brief description of the Creative Work.
Please include possible uses for the Creative Work:
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6b. Please provide/attach any supporting documents such as sketches, drawings, photographs,
graphs, data charts, power-point presentations and/or other materials that may help to illustrate the
Creative Work.
7a. Has the Creative work been published/exhibited (such as in a trade show)?: Yes/No
If Yes, please provide the following details:
7b. Country in which the work was first published/exhibited:
7c. Date of first publication/ exhibition:
7d. Was a Confidentiality Agreement in place prior to the publication/exhibit? Yes/ No
7e. If published, please include or attach all journal citations and attach a reprint if possible.
8a. Is the Creative Work a derivative work i.e. based on or derived from another work (e.g. a
software program)?: Yes/No
If Yes, please provide details:
8b. Please identify any third party content or other elements and their source included in the
Creative Work (e.g. if software, open source, freeware, shareware, etc.).
9. Does the Creative Work solve a particular problem/need? Yes/No.
If Yes, please provide details:
10. If appropriate, please outline the closest known or similar creative works (this may include
products) to the Creative Work:
11. What are the novel features of the Creative Work? How does the Creative Work differ from current
creative works known in the art? (include such items as general use or purpose, novel/unique
features, design, other supporting data/information):
12. Have you completed a literature search on your Creative Work? Yes/No
If Yes, please provide or attach details:
13. What are the possible applications for this Creative Work?
14a. Are you aware of any specific companies that may be interested in using the Creative Work or
who may sell similar products? If yes, please indicate how the Creative Work complements the
company’s existing creative works or technologies:
14b. If you have specific contacts with the organisation please specify:
14c. Are there any companies you feel should NOT be contacted regarding this Creative Work?Yes/No
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Please provide details:
Research Support
15a. Please tick the funding source that applies to the Creative Work:
DEL/University Funding
Industrial Sponsor
Charitable Sponsor
Other
Please specify
15b. Is there is a pre-existing Intellectual Property Agreement in place in relation to the Creative Work?
Yes/No.
15c. If Yes, please provide further details of the Agreement and/or attach a copy of the
Agreement document:
Creative Work Development Plan
16. Please provide a detailed description of additional work that needs to be completed to help develop
the Creative Work further over the next 12-18 months. Indicate if this work can be done at Ulster or
through external collaboration.
17. Please provide a preliminary budget and planned source of funding (if any):
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Creator’s and Additional Creator’s Details
Please list each Creator and provide the % ownership of Creative Work relative to each Creator’s
contribution to the Creative Work. If % ownership is not completed, the licensing revenue will be
shared equally between the Creators.
(Lead Creator)
Name:
Enter Title, Forename(s), Surname.
Email address:
Home Address:
Nationality:
Employee:
Research Student:
Other Student:
Affiliate:
Other: Please specify
Contribution to
Creative Work
Creator 2
Name:
Email address:
Home Address:
Nationality:
Employee:
Research Student:
Other Student:
Affiliate:
Other: Please specify
Contribution to
Creative Work
Creator 3
Name:
Email address:
Home Address:
Nationality:
Employee:
Research Student:
Other Student:
Affiliate
Other: Please specify
Contribution to
Creative Work
Yes/No Work Location:
Yes/No Faculty/School
Yes/No /
Yes/No Department
Yes/No
State agreed % ownership of this Creative Work
%
Enter Title, Forename(s), Surname.
Yes/No Work Location:
Yes/No
Yes/No
Yes/No
Yes/No
State agreed % ownership of this Creative Work
%
Enter Title, Forename(s), Surname.
Yes/No Work Location:
Yes/No
Yes/No
Yes/No
Yes/No
State agreed % ownership of this Creative Work
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%
Employee Declaration
1. I/We confirm that the information contained in this Creative Work Disclosure Form is true,
accurate and complete and not misleading in any material regard.
2. I/We [Insert Name(s)] as an employee (s) of University of Ulster (“Ulster”) acknowledge that
Ulster owns the Creative Work and all Intellectual Property Rights therein pursuant to Ulster’s
Intellectual Property Policy and Procedures.
Inventor signature
Date
Contact Number
Inventor signature
Date
Contact Number
Inventor signature
Date
Contact Number
Inventor signature
Date
Contact Number
University Representative
Date
Contact Number
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Declaration and Assignment of Intellectual Property
1. I/We confirm that the information contained in this Creative Work Disclosure Form is true,
accurate and complete and not misleading in any material regard.
2. I/We [ Insert Name(s) ] as a [research student] or [other student] or [affiliate] or [other] of
[University of Ulster] or [ Insert Name & Address of Inventor/Company/Organisation] in
consideration of the University’s agreement to take reasonable steps to exploit the Creative Work
and all Intellectual Property Rights therein and distribute any resulting profits in accordance with the
University’s Intellectual Property Policy and Procedures, I/We hereby assign to the University
absolutely the full legal and beneficial title in and to such Creative Work and associated Intellectual
Property Rights throughout the world save to the extent that such rights are required to vest directly
in or be assigned to any external body which is connected with or otherwise involved in the funding
of the Works.
3. I/We agree to notify Research and Innovation of any change in address, so that I/we can be
informed of any developments relating to the Creative Works.
4. For these purposes the phrase “Intellectual Property Rights” means in respect of the Invention
patents, rights to inventions, trademarks and service marks, trade names and domain names, rights
in get-up, rights to goodwill and to sue for passing off and unfair competition, rights in designs,
copyright including rights in computer software, database rights, rights in confidential information
(including know-how and trade secrets) and any other intellectual property rights, in each case
whether registered or unregistered and including all applications (and rights to apply) for, and
renewals or extensions of, such rights and all similar or equivalent rights or forms of protection which
subsist or will subsist, now or in the future, in any part of the world.
5. I/We shall at the University’s cost, perform all such further acts and things, and execute and
deliver all such further documents, required by law or which the University requests to vest in it the
full benefit of the right, title and interest which I/We have assigned to the University pursuant hereto
including assisting the University in obtaining, defending and enforcing registered designs, and
assisting with any other proceedings which may be brought by or against the University against or
by any third party relating to the rights hereby assigned.
6. I/We hereby appoint the University to be my/our attorney to execute and do any such instrument
or thing, and generally to use my/our name, for the purpose of giving the University the benefit of the
rights detailed above. I/We acknowledge in favour of a third party that a certificate in writing signed
by anyone authorised by the University to do so to the effect that any instrument or act falls within
the authority conferred above shall be conclusive evidence that such is the case.
7. I/We confirm that no failure or delay by the University to exercise any right or remedy provided to
it under the above assignment or by law shall constitute a waiver of that or any other right or
remedy, nor shall it preclude or restrict the further exercise of that or any other right or remedy. No
single or partial exercise of such right or remedy shall preclude or restrict the further exercise of that
or any other right or remedy.
8. I/We warrant that the Creative Work was generated by original work and was not copied wholly or
substantially from any other work or material or any other source.
9. The assignment detailed above shall be governed by and construed in accordance with Northern
Ireland law and shall be subject to the exclusive jurisdiction of the courts of Northern Ireland.
IN WITNESS WHEREOF I/We have executed and delivered this Creative Work Disclosure Form as
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a deed on the date stated beside my/our name(s).
EXECUTED AS A DEED
BY THE INVENTOR
(Please sign here)
(Insert date of signature)
IN THE PRESENCE OF
(Witness to sign here)
(Print Witness Name)
(Print Witness Address)
(Print Witness Occupation)
EXECUTED AS A DEED
BY THE INVENTOR
(Please sign here)
(Insert date of signature)
IN THE PRESENCE OF
(Witness to sign here)
(Print Witness Name)
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EXECUTED AS A DEED
By THE INVENTOR
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(Please sign here)
(Insert date of signature)
IN THE PRESENCE OF
(Witness to sign here)
(Print Witness Name)
(Print Witness Address)
(Print Witness Occupation)
EXECUTED AS A DEED
BY THE INVENTOR
(Please sign here)
(Insert date of signature)
IN THE PRESENCE OF
(Witness to sign here)
(Print Witness Name)
(Print Witness Address)
(Print Witness Occupation)
Administration:
Creative Work Disclosure No:
Date received:
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