service Disclamer
Service Request
Data Recovery Service Request
Company / Name: ____________________________________ TEL: ________________
Email: _______________________________________________________________________
1. ADDRESS: __________________________________ CITY: _________________________
2. State: _________ ZIP: __________
3. User Info (profile name(s)/password(s) if
4. any):___________________________________________________________________
5. Item / Drive Make and Model # __________________________________________________
6. Serial Number______________________________________ Computer Type ____________
7. All Partitions & Size C: _____ D: _____E: ____ F: ____ Compression: Yes __ No ___
8. Operating System (Windows) ________________ (Mac / UNIX / Other) ______
9. File System: (if known) ____________________________________________________
10. (Please include all drives in order)
11. If Tape, drive make & model____________ software & version________________(please include
12. the software & drive)
13. Destination Media: CD____ (3 included $20 for each additional disc) DVD____ (1 included $25 for
14. each additional disc)
15. Customer Provided Hard Drive Price$________
16. External USB Drive can be supplied and cost is based on capacity of the unit.
17. What were the failure symptoms?
18. ______________________________________________________________________________________
19. ______________________________________________________________________________________
20. What (if any) recovery attempts have been made?
21. ______________________________________________________________________________________
22. ______________________________________________________________________________________
23. List most critical data and what folders it should be in:
24. ______________________________________________________________________________________
25. ______________________________________________________________________________________
26. Notes / Any additional information you may think of:
27. ______________________________________________________________________________________
28. ______________________________________________________________________________________
29. 31. each additional disc)
32. Customer Provided Hard Drive ($0)* ________
33. External USB Drive can be supplied and cost is based on capacity of the unit.
34. What were the failure symptoms?
35. ______________________________________________________________________________________
36. ______________________________________________________________________________________
37. What (if any) recovery attempts have been made?
38. ______________________________________________________________________________________
39. ______________________________________________________________________________________
40. List most critical data and what folders it should be in:
41. ______________________________________________________________________________________
42. ______________________________________________________________________________________
43. Notes / Any additional information you may think of:
44. ______________________________________________________________________________________
45. ______________________________________________________________________________________
46. CW Data Recovery Of Maine 15 West Kennebec Road Machias, Maine 04654. (207-255-8220
Email: info@cwdatarecovery.com
