An application for a license should be addressed to the Federal
agency having custody of the invention and shall normally include:
(a) Identification of the invention for which the license is desired
including the patent application serial number or patent number, title,
and date, if known;
(b) Identification of the type of license for which the application
is submitted;
(c) Name and address of the person, company, or organization
applying for the license and the citizenship or place of incorporation
of the applicant;
(d) Name, address, and telephone number of the representative of the
applicant to whom correspondence should be sent;
(e) Nature and type of applicant's business, identifying products or
services which the applicant has successfully commercialized, and
approximate number of applicant's employees;
(f) Source of information concerning the availability of a license
on the invention;
(g) A statement indicating whether the applicant is a small business
firm as defined in Sec. 404.3(c)
(h) A detailed description of applicant's plan for development or
marketing of the invention, or both, which should include:
(1) A statement of the time, nature and amount of anticipated
investment of capital and other resources which applicant believes will
be required to bring the invention to practical application;
(2) A statement as to applicant's capability and intention to
fulfill the plan, including information regarding manufacuturing,
marketing, financial, and technical resources;
(3) A statement of the fields of use for which applicant intends to
practice the invention; and
(4) A statement of the geographic areas in which applicant intends
to manufacture any products embodying the invention and geographic areas
where applicant intends to use or sell the invention, or both;
(i) Identification of licenses previously granted to applicant under
federally owned inventions;
(j) A statement containing applicant's best knowledge of the extent
to which the invention is being practiced by private industry or
Government, or both, or is otherwise available commercially; and
(k) Any other information which applicant believes will support a
determination to grant the license to applicant.
