Appendix F - DD Form 882

REPORT OF INVENTIONS AND SUBCONTRACTS

Form Approved

OMB No. 9000-0095

Expires Jan 31, 2008

(Pursuant to "Patent Rights" Contract Clause) (See Instructions on back)

The public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (9000-0095). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE ABOVE ORGANIZATION. RETURN COMPLETED FORM TO THE CONTRACTING OFFICER.

1.a. NAME OF CONTRACTOR/SUBCONTRACTOR

2.a. NAME OF GOVERNMENT PRIME CONTRACTOR

c. CONTRACT NUMBER

c. CONTRACT NUMBER

3. TYPE OF REPORT (X one)

a. INTERIM

b. ADDRESS (Include ZIP Code)

d. AWARD DATE

(YYYYMMDD)

b. ADDRESS (Include ZIP Code)

b. FINAL

d. AWARD DATE 4. REPORTING PERIOD (YYYYMMDD)

(YYYYMMDD)

a. FROM

b. TO

SECTION I - SUBJECT INVENTIONS

5. "SUBJECT INVENTIONS" REQUIRED TO BE REPORTED BY CONTRACTOR/SUBCONTRACTOR (If "None," so state)

NAME(S) OF INVENTOR(S)

(Last, First, Middle Initial)

TITLE OF INVENTION(S)

a.

b.

DISCLOSURE NUMBER,

PATENT APPLICATION

SERIAL NUMBER OR

PATENT NUMBER

c.

ELECTION TO FILE

PATENT APPLICATIONS (X)

d.

(1) UNITED STATES

(a) YES

(b) NO

(2) FOREIGN

(a) YES

(b) NO

CONFIRMATORY INSTRUMENT

OR ASSIGNMENT FORWARDED

TO CONTRACTING OFFICER (X)

e.

(a) YES

f. EMPLOYER OF INVENTOR(S) NOT EMPLOYED BY CONTRACTOR/SUBCONTRACTOR

g. ELECTED FOREIGN COUNTRIES IN WHICH A PATENT APPLICATION WILL BE FILED

(1) (a) NAME OF INVENTOR (Last, First, Middle Initial)

(2) (a) NAME OF INVENTOR (Last, First, Middle Initial)

(1) TITLE OF INVENTION

(b) NAME OF EMPLOYER

(b) NAME OF EMPLOYER

(c) ADDRESS OF EMPLOYER (Include ZIP Code)

(c) ADDRESS OF EMPLOYER (Include ZIP Code)

(b) NO

(2) FOREIGN COUNTRIES OF PATENT APPLICATION

SECTION II - SUBCONTRACTS (Containing a "Patent Rights" clause)

6. SUBCONTRACTS AWARDED BY CONTRACTOR/SUBCONTRACTOR (If "None," so state)

NAME OF SUBCONTRACTOR(S)

ADDRESS (Include ZIP Code)

a.

b.

SUBCONTRACT

NUMBER(S)

c.

FAR "PATENT RIGHTS"

d.

(1) CLAUSE

NUMBER