Establishing secure connection…Loading editor…Preparing document…

Intellectual Property Statement Form

This template is fully customizable. Edit the text, fill out the fields, and send it for signature. Give it a try!

INTELLECTUAL PROPERTY STATEMENT FORM

This Intellectual Property Statement (the "Statement") is made effective as of by and between Declarant: of (hereinafter "Declarant"), and Company: with principal place of business at (hereinafter "Company").

RECITALS

WHEREAS, Declarant is employed by, retained by, or otherwise engaged to provide services to Company in the capacity of ; and

WHEREAS, in the course of such engagement Declarant may conceive, develop, create, reduce to practice or otherwise produce inventions, designs, discoveries, works of authorship or improvements that relate to Company's business, products, services or research (collectively, "Inventions"); and

WHEREAS, the parties desire to set forth the Declarant's disclosure obligations, ownership, and any limited licenses regarding Intellectual Property and Background Intellectual Property.

NOW, THEREFORE, in consideration of the mutual covenants contained herein and other good and valuable consideration, the parties agree as follows:

1. DEFINITIONS

For purposes of this Statement, the following terms shall have the meanings set forth below: "Intellectual Property" means all patents, patent applications, inventions (whether or not patentable), trade secrets, know-how, copyrights, moral rights, mask works, database rights, domain names, design rights, and other proprietary rights worldwide. "Background Intellectual Property" means Intellectual Property conceived, developed or owned by Declarant prior to the Effective Date or outside the scope of Declarant's engagement with Company, and listed in Section 4 below. "Company Intellectual Property" means Intellectual Property that is assigned or deemed assigned to Company under Section 3.

2. DISCLOSURE OF INVENTIONS

Declarant shall promptly disclose to Company, in writing, all Inventions that Declarant conceives, reduces to practice, authors or develops, whether solely or jointly, during the period of Declarant's engagement with Company and for a period of months after termination of such engagement if the Invention relates to Company's business, products or demonstrably resulted from use of Company resources.

If no Inventions are being disclosed at this time, check here: (Declarant attests there are no disclosable Inventions as of the Effective Date).

3. ASSIGNMENT

Declarant hereby assigns and agrees to assign, and will cause to be assigned, to Company all right, title and interest in and to all Company Intellectual Property throughout the world, whether now known or hereafter discovered, that (a) are conceived, authored, reduced to practice or otherwise developed by Declarant, alone or with others, during the period of Declarant's engagement with Company and that (b) relate to Company's actual or demonstrably anticipated business, research, development, products or services or that were developed using Company materials, equipment, facilities, personnel or confidential information. Declarant agrees to execute, verify and deliver such assignments, instruments and documents and to perform all lawful acts reasonably requested by Company to secure, maintain, perfect, confirm and protect Company's rights.

4. BACKGROUND INTELLECTUAL PROPERTY

To the extent that Background Intellectual Property is necessary for Company to practice any assigned Invention or to operate any Company product that uses such Background Intellectual Property, Declarant grants Company a perpetual, non-exclusive (or exclusive, if negotiated), royalty-free license to use such Background Intellectual Property solely to the extent reasonably necessary for Company's internal business or products, except as otherwise agreed in a separate written license.

5. THIRD-PARTY MATERIALS

Declarant represents that to the best of Declarant's knowledge any Invention or Background Intellectual Property disclosed hereunder does not infringe any third-party rights and is not subject to any agreement that would prevent assignment to Company. Declarant shall identify any third-party code, materials or license terms incorporated in any disclosed work in the space below and attach copies of relevant license terms.

6. CONFIDENTIALITY

Declarant acknowledges that the existence, nature and content of any Invention or Background Intellectual Property may be Confidential Information of Company. Declarant shall not disclose, use or permit the use of such Confidential Information except as necessary to perform duties for Company or as required by law, and shall comply with any existing confidentiality agreement between the parties.

7. REPRESENTATIONS, WARRANTIES AND COVENANTS

Declarant represents and warrants that (a) Declarant is the sole author or creator of the Background Intellectual Property listed in Section 4 except as otherwise disclosed; (b) Declarant has the right to assign such Background Intellectual Property or to grant the licenses set forth herein; (c) to Declarant's knowledge, the disclosed Inventions and Background Intellectual Property do not infringe the intellectual property rights of third parties; and (d) Declarant will not, without Company's prior written consent, grant any rights or encumber any Background Intellectual Property in a manner inconsistent with this Statement.

8. INDEMNIFICATION

Declarant shall indemnify, defend and hold harmless Company from and against any losses, liabilities, costs and expenses (including reasonable attorneys' fees) arising from any breach of Declarant's representations, warranties or covenants contained in this Statement, including claims that the Declarant-assigned Intellectual Property infringes or misappropriates the rights of any third party.

9. REMEDIES

The parties agree that monetary damages may be inadequate to compensate Company for breaches of this Statement and that Company shall be entitled to seek equitable relief, including specific performance and injunctive relief, in addition to any other remedies available at law or in equity.

10. NOTICES

All notices or communications required or permitted under this Statement shall be in writing and delivered to the addresses below (or to such other address as the receiving party may designate by notice).

11. GOVERNING LAW; ENTIRE AGREEMENT; SEVERABILITY

This Statement shall be governed by and construed in accordance with the laws of the state or jurisdiction specified here: , without regard to conflict of laws principles. This Statement constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements and understandings, whether written or oral. If any provision of this Statement is held invalid or unenforceable, the remaining provisions shall continue in full force and effect.

12. AMENDMENTS; WAIVER; COUNTERPARTS

No amendment or modification of this Statement will be effective unless in writing and signed by both parties. No waiver of any breach shall be deemed a waiver of any subsequent breach. This Statement may be executed in counterparts, each of which shall be deemed an original and all of which together shall constitute one and the same instrument; signatures delivered by electronic means shall be valid and binding.

13. ACKNOWLEDGMENT

Declarant acknowledges receipt of consideration for this Statement, including continued engagement, access to Company information, and other mutual promises set forth herein, and affirms that Declarant has read and understands this Statement and has had the opportunity to seek independent advice.

Declarant

Printed Name:

By (Signature):

Date:

Company

Printed Name:

By (Authorized Signature):

Date:

Enter text✕
Prepare your document for signing right on this page
  • 01 Edit the text and complete the fields
  • 02 Click Sign Now and on the next screen add recipients and signature fields in SignNow
  • 03 Start your free trial to sign and send your doc
Sign Now

What the Intellectual Property Statement Form Is

An Intellectual Property Statement Form documents ownership, assignment, license rights, and relevant background for creative works, inventions, or software created by an individual or team. It records whether rights are retained, assigned, licensed, or asserted, and captures dates, inventor or author names, and descriptions of the IP. Organizations use this form for onboarding, contracting, project handoffs, grant applications, and patent or copyright filings to create an auditable record of who holds what rights and under what terms.

Why a Clear IP Statement Matters

A properly completed Intellectual Property Statement Form reduces ownership disputes, supports licensing and commercialization, and provides a basis for enforcement or transfer. It creates a contemporaneous record that clarifies intent and scope of rights for employers, contractors, and collaborators.

Why a Clear IP Statement Matters

Who Typically Completes This Form

Organizations and individuals use IP Statement Forms to document ownership for employment, contracting, research, and project work.

  • In-house counsel and legal teams preparing assignment language and verifying chain of title for patents or copyrights.
  • Hiring managers and HR when onboarding employees or contractors to capture inventions and works-for-hire status.
  • Project managers, product owners, or external partners documenting contributions and license permissions before release.

Use the form as part of a records retention strategy and to support later licensing, patent filings, or dispute resolution.

Essential Elements to Include in a Professional Form

A complete Intellectual Property Statement Form organizes the parties, effective date, description of the IP, ownership assertions, assignment or license terms, and signatures for legal clarity.

Parties

Full legal names for all parties, including entity type (LLC, corporation) and relationship to the creator; avoid nicknames or initials to prevent ambiguity.

Effective Date

The MM/DD/YYYY effective date that determines when rights transfer or obligations begin; this date can affect statute of limitations and priority for filings.

IP Description

Concise technical or creative description identifying the work, invention, or deliverable, including version numbers, file paths, repository links, or prototypes when applicable.

Ownership Statement

Clear declaration whether the creator retains ownership, assigns rights, or grants a license; specify scope, duration, territories, and exclusivity if licensing.

Assignment and Consideration

If assigning rights, include explicit assignment language and consideration (monetary amount or other compensation) or a statement of volunteer transfer where appropriate.

Signatures and Dates

Signature block for each authorized signer with printed name, title, date signed, and witness or notary lines if required by state or policy.

Required Data Fields at a Glance

Creator Name: Legal full name
Employer/Entity: Legal entity name
IP Title: Short descriptive title
Effective Date: MM/DD/YYYY
Assignment Type: Assign | License | Retain
Signatures: Signer name and date

Step-by-Step: Completing the Form Correctly

Use this sequential checklist to complete the Intellectual Property Statement Form reliably and consistently.

  • 01
    Gather IDs: Collect government IDs and entity formation documents.
  • 02
    Describe the IP: Write a clear, dated description with references and versions.
  • 03
    Choose Rights: Select retain, assign, or license and specify terms.
  • 04
    Sign and Date: All authorized parties sign, date, and witness/notarize if required.

How to Configure an Online Workflow for This Form

Set these workflow elements when converting the form to a digital template to preserve chain-of-custody and auditability.

Field Configuration
Authentication Email plus SMS code or ID verification for sensitive assignments
Required Fields Make names, dates, and signature blocks mandatory
Conditional Logic Show assignment clause only if 'Assign' selected
Retention Enable read-only archival and exportable audit trail

Where to Send or File the Completed Form

Follow these routing steps so the completed form reaches the parties and recordkeepers who need it.

  • Internal Records: Upload executed copy to corporate records repository
  • Legal Review: Send to in-house counsel for verification and filings
  • External Parties: Provide signed copies to licensees or collaborators
  • Filing or Registration: Attach to patent or copyright filings as applicable

Digital Signing and Platform Considerations

Use an eSignature platform that supports required authentication, audit trails, and secure storage for IP documents.

  • Integrations: Salesforce, NetSuite, Google Workspace support
  • File Formats: PDF and DOCX accepted; keep archival PDF/A
  • Authentication: Email plus SMS or ID credentialing

Ensure the chosen platform preserves an audit trail and meets any applicable compliance such as ESIGN and UETA for enforceability.

Common Timing and Deadline Considerations

IP Statement Forms often have timing implications for filings, payroll tax reporting, or contract milestones; confirm deadlines relevant to your use case.

No Universal Filing Deadline:

Provide the form on request; no standard federal filing deadline applies

Patent Priority:

Accurate dates support patent priority claims; record creation dates promptly

Payroll/Compensation:

Document consideration before payroll runs to align tax treatment

Contract Milestones:

Tie assignment effective date to delivery or acceptance dates

Respond to Notices:

Respond to disputes or claims within contract-specified windows

Common Preparation Errors to Avoid

  • Using informal or partial names (initials or nicknames) that create ambiguity about identity and authority.
  • Failing to describe the IP with sufficient specificity, leaving room for disagreement about scope or covered works.
  • Skipping required signatures, witness lines, or notarization where state law or policy mandates them.
  • Mixing assignment and license language without clear separation, creating conflicting rights and obligations.

Risks and Consequences of an Incorrect Form

Invalid Assignment: May be unenforceable
Ownership Dispute: Leads to litigation risk
Tax Exposure: Incorrect reporting or withholding
Lost Priority: Affects patent filing dates
Contract Breach: Potential damages
Reputational Harm: Partner trust erosion

Real-World Examples of How Organizations Use This Form

These short examples show how executed IP Statement Forms support business processes and compliance in practice.

Optica Ventures — COO

Optica used the form to document ownership for startup-developed designs

  • The form captured inventor names and deliverable versions
  • This contemporaneous record reduced onboarding delays and clarified ownership before investor diligence, simplifying funding discussions and due diligence.

Martin Properties — Founder

Martin Properties recorded assignment of design materials for a renovation project

  • Included file references and delivery dates
  • The executed form prevented disputes with contractors and supported insurance and warranty claims after project completion.

eSignature Vendor Comparison for Signing IP Statement Forms

Common platform criteria to consider when choosing an eSignature solution for Intellectual Property Statement Forms are listed below; signNow is presented first for comparison consistency.

signNow DocuSign Adobe Sign PandaDoc HelloSign
Starting Price $8/user/mo $15/user/mo $14/user/mo $19/user/mo $15/user/mo
Free Trial Yes, 7-day trial Varies Varies Yes, limited Yes, limited
Bulk Send Yes Yes Yes Yes No
Audit Trail Yes Yes Yes Yes Yes
HIPAA Compliant Yes Yes Yes No No

Frequently Asked Questions and Troubleshooting

Answers to common questions about completing, signing, and storing Intellectual Property Statement Forms.


Need help? Contact support

be ready to get more
Join over 28 million airSlate SignNow users
Sign Now
Company
Forms
Pricing
Resources
Knowledge base
Other Products
© 2026 airSlate Inc. All rights reserved.