Non-Confidential Idea Submission Agreement
Please use this form to submit your idea to JohnsonDiversey, Inc. (JDI) on a non- confidential basis. Please be as detailed as possible, details allows us to process your submission faster and enables us to make a better diagnosis concerning the fit within our company. Fill this form in electronically, print it, sign it, and mail it with any supporting documentation to:
Idea Submission
JohnsonDiversey, Inc.
8310 16th Street - M/S 509, P.O. Box 902
Sturtevant, WI 53177-0902
DO NOT INCLUDE ANY INFORMATION OR MATERIALS THAT YOU CONSIDER CONFIDENTIAL
1. Full Name
2. Address
City, State, Zip
3.
4. Home Telephone Number:
Work Telephone Number:
Email:
5. Please enter a descriptive title for the idea:
6. Does your idea involve a : (check all that apply)
7. Please describe your idea in detail, include it's relevance and potential use:
Are additional material attached?
8. Do you have a working prototype?
Additional Details:
9. Has your idea been publicly used,sold or otherwise publicly disclosed?
If Yes,First Public Use Sold on, Otherwise publicly disclosed on
10. Is your idea protected by a patent or patent pending?
If Yes,please provide patent numbers and/or filing dates:
11. Please indicate the relationship, if any, desired with JohnsonDiversey?
12. Current Employer's Name
Address
City, State,Zip
13. Does your current employer have any rights to the idea?
14. Name of the Employer when you first got the idea
15. Does the employer listed in question 15 have any rights to the idea?
16. Does any other person or business have a right to this idea?
Terms and Conditions of Submitting an Idea to JohnsonDiversey, Inc.
Prior to signing this agreement or submitting any information, JohnsonDiversey, Inc. (“JDI”) strongly recommends that the person submitting this idea (“Submitter”) contact an attorney for advice.

Submitter assures JDI that Submitter originated this idea and that Submitter has the legal right to negotiate with JDI concerning it.Furthermore, Submitter assures JDI that Submitter’s current and previous employers do not have a legal right to this idea and that anyone who may have a legal interest in this idea has joined this submission.

By considering Submitter’s idea, JDI is not admitting that it is new and is not obligated to tell Submitter anything previously known or discovered since the submission of the idea.Further, Submitter is not giving JDI any rights under a current or future patent through this agreement. However, for submissions covered by patents or pending patent applications, Submitter agrees to rely wholly on any rights provided under the national patent laws where issued or filed for protection.For submissions that have not been covered by a patent or patent application, Submitter understands that by submitting this idea, Submitter might be jeopardizing Submitter’s ability to obtain a patent for this idea if a patent is not already filed pertaining to this idea.Further, in such circumstances, it is entirely within JDI’s discretion whether to compensate Submitter for such non-protected ideas. Furthermore, JDI will not assume any obligation to act in a consulting capacity with regard to the patentability of Submitter’s idea, the desirability of seeking a patent, the commercial possibilities of Submitter’s idea, or Submitter’s rights against others.

Submitter acknowledges that the general description provided does not include proprietary or confidential information and that JDI is not under any obligation to maintain this idea in confidence. Furthermore, Submitter understands that a confidential relationship does not exist and cannot be created by merely disclosing this idea to an officer, employee, or agent of JDI.

After JDI reviews Submitter’s idea, JDI will not return any documentation to Submitter; it will be kept as a record of what was provided to JDI.

The above conditions cannot be modified or waived.There are no other understandings or agreements between JDI and Submitter
I have read and understand this agreement completely and agree to the terms and conditions set forth above. I understand that any information and/or materials that I provide to JDI are on a Non-Confidential and Unrestricted basis.By checking the box below, I indicate my acceptance of all terms and conditions related to this agreement and allow JDI to retain the information submitted hencewith.
Full Name(Please Type)
If under the age of 18, Name of Parent or Guardian(Please Type)
If this idea is submitted by an agent of the submitter,the agent should enter their name and capacity