datatracker.ietf.org
Sign in
Version 5.4.0, 2014-04-22
Report a bug

The Patent Disclosure and Licensing Declaration Template for Specific IPR Disclosures

This document is an IETF IPR Disclosure and Licensing Declaration Template and is submitted to inform the IETF of a) patent or patent application information regarding the IETF document or contribution listed in Section IV, and b) an IPR Holder's intention with respect to the licensing of its necessary patent claims. No actual license is implied by submission of this template. Please complete and submit a separate template for each IETF document or contribution to which the disclosed patent information relates.

If you wish to submit your IPR disclosure by e-mail, then please send it to ietf-ipr@ietf.org. Submissions made by e-mail that do not comply with the formal requirements of Section 6, "IPR Disclosures," of RFC 3979, "Intellectual Property Rights in IETF Technology", will be posted, but will be marked as "non-compliant".

Fields marked with "*" are required.

I. Patent Holder/Applicant ("Patent Holder")
Legal Name: *
II. Patent Holder's Contact for License Application
Name: *
Title:
Department:
Address1:
Address2:
Telephone:
Fax:
Email: *
III. Contact Information for the IETF Participant Whose Personal Belief Triggered this Disclosure:
Name: *
Title:
Department:
Address1:
Address2:
Telephone:
Fax:
Email: *
* IV. IETF Document or Other Contribution to Which this IPR Disclosure Relates:
RFC Numbers:
I-D Filenames (draft-...):
Designations for Other Contributions:
V. Disclosure of Patent Information (i.e., patents or patent applications required to be disclosed by Section 6 of RFC3979)
A. For granted patents or published pending patent applications, please provide the following information:
Patent, Serial, Publication, Registration, or Application/File number(s): *
Date(s) granted or applied for: *
Country: *
Additional Notes:
B. Does your disclosure relate to an unpublished pending patent application?:
C. If an Internet-Draft or RFC includes multiple parts and it is not reasonably apparent which part of such Internet-Draft or RFC is alleged to be covered by the patent information disclosed in Section V(A) or V(B), it is helpful if the discloser identifies here the sections of the Internet-Draft or RFC that are alleged to be so covered:
VI. Licensing Declaration
The Patent Holder states that its position with respect to licensing any patent claims contained in the patent(s) or patent application(s) disclosed above that would necessarily be infringed by implementation of the technology required by the relevant IETF specification ("Necessary Patent Claims"), for the purpose of implementing such specification, is as follows (select one licensing declaration option only):
Above licensing declaration is limited solely to standards-track IETF documents.
Licensing information, comments, notes, or URL for further information:

The individual submitting this template represents and warrants that all terms and conditions that must be satisfied for implementers of any covered IETF specification to obtain a license have been disclosed in this IPR disclosure statement.

Note: The individual submitting this template represents and warrants that he or she is authorized by the Patent Holder to agree to the above-selected licensing declaration.
VII. Contact Information of Submitter of this Form (if different from the Contact Information above)
Same as in Section II above:
Same as in Section III above:
Name: *
Title:
Department:
Address1:
Address2:
Telephone:
Fax:
Email: *
VIII. Other Notes: