Licensing Interest Form

Thank you for your interest in licensing a DOE-owned technology from National Energy Technology Laboratory (NETL). Please complete the form below and a member of our team will get back to you.

Contact Information

Name of Point of Contact

Title of Point of Contact

Company/Organization

Mailing Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Phone

Technology Interest

Which DOE technologies are you interested in licensing? Please include the U.S. Patent Application number or Issued Patent number, as applicable.

Select License Type

How did you learn about the technology?

Company Information

Is your company/organization organized, chartered, or incorporated under the laws of any country other than the United States or its territories?

Is your company/organization owned, controlled, or influenced by any foreign (non-U.S.) government, agency, firm, corporation, or any person who is not a citizen or national of the United States?

Link to Company Website

Provide a brief description of your company/organization, including areas of commercial interest (if applicable)

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