Data Recovery, Inc. "Saving lives by saving drives, everyday"

17 Avon Road, Watertown MA 02472 Ph: 781-449-9990

EMAIL: helpnospam@datarecoveryinc.com remove nospam to send to datarecoveryinc

CUSTOMER INFORMATION

Name: _________________________________________________

email: _____________________________

Company:_________________________________________________________________________________

Street Address:_____________________________________________________________________________

City/State/ZIP:_____________________________________________________________________________

Voice Phone:___________________________________ FAX Phone:_________________________________

EVALUATION SERVICE LEVEL (Choose One)

The evaluation service level you choose determines how soon we will evaluate your drive. You will not be charged the Recovery fee until we have your permission to start the repair.

FOR Windows NT/2000/XP/ME WITH physical problems up to 30 GB; there will be price adjustments for larger drives

FOR Windows 3.1`/Win95/Win98 WITH physical problems up to 30 GB; there will be price adjustments for larger drives

WIN 3.1/95/98/NT/2000 FOR DRIVES WITHOUT PHYSICAL PROBLEMS up to 20 GB; there will be price adjustments for larger drives

**.please note evaluation fees are exclusive of recovery charges and will be charged for declined recoveries

PAYMENT INFORMATION (Choose One)

I agree to pre-pay for the evaluation charge with the following method:

[ ] Certified/Bank Check - made payable to Data Recovery, Inc. .

[ ] Visa [ ] Discover Name on Credit Card: __________________________________

[ ] M/ C [ ] AMEX Credit Card Number: ___________________________________

Expiration Date: _______ Cardholders signature___________________________________ Date______

RETURN SHIPPING INFORMATION

Return Shipping Method (Choose One) Return Shipping Payment (Choose One)

[ ] Courier Delivery (greater Boston area only) [ ] United Parcel Service Account:________________

[ ] UPS Next Day Air [ ] FedEX Service Account:___________________

[ ] FedEX Next Day Air [ ] Visa [ ] M/C [ ] AMEX [ ] Discover

Name on Credit Card: ________________________ Card Credit Card #: ________________________Expire Date:

Return Shipping Insurance (Choose One from UPS/FedEX)

Data Recovery, Inc. is not responsible for damages incurred during shipping. To insure your computer equipment during shipping check the following:

[ ] I am purchasing shipping insurance from UPS/FedEX. I fully understand the coverage that method of insurance provides. Value of Hard Drive: $____________________

[ ] I am declining shipping insurance. Data Recovery, Inc. will not be held responsible for damage that occurs in transit.

DECLARATION OF OWNERSHIP AND AUTHORITY

I, _____________________________________________, am the legal owner of the hardware in question, Serial Number: (not required) _______________, and/or am the duly authorized representative of ___________________________________________ (Company name if hardware is owned by corporation, agency, etc.) My signature will attest to the fact that I am an officer of the above named company, or am empowered by its governing body, to act in its behalf for matters relating to the attached Agreement in regard to the property identified above.

________________________

(Signature)

DATA RECOVERY WAIVER OF LIABILITY

I,____________________________, grant permission to Data Recovery, Inc. to perform any action they deem necessary to attempt to repair my hard drive. I understand that this procedure is a final attempt towards the recovery of data from the hard drive and could result in loss of part, or all, of the data stored thereon and that Data Recovery, Inc. makes no warranty or guarantee as to the success of its attempts. Furthermore, I release Data Recovery, Inc. from any liability for any data loss which may occur during, or as a result of, this procedure. I also release Data Recovery, Inc. from any liability for any theft, damage or destruction to the drive and any other hardware sent to Data Recovery, Inc. in connection with this Waiver, and agree that the sole liability of Data Recovery, Inc. for the foregoing shall be the fair market value of such hardware, as reasonably determined by Data Recovery, Inc. All claims for liability and/or loss including without limitation any indirect, incidental or consequential damages which may occur as a result of any Data Recovery, Inc. action (or inaction) is hereby expressly waived. I also understand that, even if the drive is successfully recovered, there is a possibility that individual files and directories on the drive may still be inaccessible due to the type of damage originally sustained. In addition, I agree to pay the applicable fee for these services by Data Recovery, Inc. , plus shipping and handling expenses * as follows. * Data Recovery, Inc. uses UPS for return shipping. Data Recovery, Inc. does not pay for return shipping.

I agree to accept the responsibility for shipping the system or hard drive to Data Recovery, Inc. Data Recovery, Inc. will not be responsible for damages incurred during the shipping process and any loss or claim against such agents shall be solely by and on the behalf of the undersigned. I agree to all the forgoing conditions.

By signing below, I authorize Data Recovery, Inc. to proceed with the evaluation and charge the evaluation fee I selected in SERVICE LEVEL, pursuant to the conditions herein. I understand that the initial cost estimate for this procedure is as indicated above, exclusive of evaluation charges.

____________________________________ ___________________________________

(Signature) (Phone Number where you can be reached)

____________________________________ ___________________________________

(Print Name) (Alternative Phone / Pager / Fax / Email)

____________________________________

(Title)

_______________________

(Date)

Data Recovery Drive Information Form

Please complete the form and send it in with your drive. Be sure to also include the Data Recovery Request Form.

1. Explain the symptoms of the problem. Also describe what you have done so far while attempting to fix the problem:

   ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

2. List any critical directories and files. Be as thorough as possible. Include only those files that do not exist on any other drive or backup set. If you need additional space, please attach additional sheets to this document.

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

To ensure the most successful recovery possible, it is important to completely fill out this form! This form must be included with your media for Data Recovery to begin your diagnosis. Use additional sheets if necessary.

 

Check this box if this media/data is either involved or potentially could be involved in litigation. o

( If checked, this job will be forwarded to our Computer Evidence Services Department.)

If necessary, do we have permission to physically alter the tape media? o Y o N (If the tape is overwritten and data recovery becomes necessary, the tape may be unusable)

Failure Information

What failure occurred and when did this happen? Please list any error messages

What recovery attempts were made? What tools were used?

Data Information

What files are most important to the recovery? List path and filenames with extensions. Attach additional sheets as needed.

 

Technical Information

Tape drive manufacturer _____________________________ Model

Computer manufacturer _____________________________ Model

Controller manufacturer _____________________________ Model

Tape software and version

Operating system and version

If you have a network system, is backup multi-sourced? o Y o N

If Yes, what kind of name space is used?

Is there a specific order to the tapes?

Compression? o Y o N If yes, o hardware or o software?

Approximate amount of data on tape(s) __________

Customer’s Equipment Inventory (List all equipment and media you will be sending to Data Recovery.)

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