FORM TT - 1
Technology Transfer
DIVISION OF RESEARCH
State University of New York at Binghamton
COPYRIGHT AGREEMENT FORM
1. Author Details:
S.NO
AUTHOR
DEPARTMENT / UNIT
2. Title of Work:
(Example: Textbook Title, Software Program Name, etc.)
3. Description of Work:
(Number of pages, General description in two or three sentences maximum and List interested publishers or
actions author may have already taken to license/sell work)
PO Box 6000, Binghamton, NY, 13902-6000. Ph: (607) 777-6752. FORM TT-1
Revised
6/07/04
4. Copyright Associated with this work should be:
Released
to
the
author(s).
Retained by the University (Research Foundation, Foundation of SUNY Binghamton) under the
conditions of proposed Copyright Agreement.
Describe below any special arrangements including payback of university funds, etc.
5. Royalty share for original author(s):
(In the absence of any distribution plan below royalties will be evenly divided)
6. Unless an exception is requested with this approval, the distribution of the institutional royalty income will be
in accordance with that described in Copyright Policy. Any request for an alternate distribution or other special
considerations should be delineated below:
I recommend that the copyright action requested above be implemented, including the author's royalty share, if any.
Chairman/Supervisor:
Date:
7. Endorsements:
Associate
Vice
Provost
of
Research:
Date:
Vice Provost:
Date:
PO Box 6000, Binghamton, NY, 13902-6000. Ph: (607) 777-6752. FORM TT 1
Revised
6/07/04