Part A: Client Information  ( * Required Fields )  

 Company  Name:
*            Telephone:* 

 Person of  Contact:
*           Cell/ Pager: 

 Shipping  Address:
*                        Fax: 

 Extra Address Line:      E-mail:
*

 City:
*  State:*   Zip:*   


 Part B: Media Information

 Hard Drive:

              Mfg:                                              Model#                                    Size (GB) 
                 

      Operating System:                       File System:                      Partition Data:
              

      Compression:                   Drive Manager:                           Passwords:
                    

         Media:*         ( * Best results obtained from original )
   

 Other Media:

          Type:                                   Size(Capacity):                        Are backups available:
                                                
 

 Circumstances Leading to drive failure:  


 What methods (if any) were used to try to recover data?  


 EXACTLY what needs to be recovered?  

 Program(s) 


 Directory(s) 


 File(s)


 File Extensions 


 How should we return your data?  





At this point your media is warranty safe since we are only performing a free diagnostic evaluation. We will not break any manufacturer warranty seals without first notifying and receiving customer approval. Indicate your preference below.

 We may have to open your drive for inspection. This MAY void the warranty. (Proceed):





 Part C:  SDCom [and] Data Recovery Customers  -  Service Agreement.

SDCom will perform a FREE diagnostic evaluation for client and no billable work will be done without first receiving the customers approval of the estimate given by SDCom to recover any lost  data from customer supplied media. Under no circumstances will SDCom disclose any customer information or  data  supplied  with,  stored on, or recovered from  the customer's media. Data and media devices are and shall remain property of the customer unless left after 30  days of notification of completion, or  refusal  to pay after approval of the estimate is given by customer, to perform data recovery  services unless previously arranged by customer directly with SDCom.

All Hardware Media left over 30 days after notice  of completion  will  be considered abandoned and shall become the property of  SDCom unless previously arranged. Full payment  is  due upon  completion of  work before  recovered data is returned to customer unless previously arranged by customer directly with SDCom. Customer warrants and represents to SDCom that customer has owner rights and/or has the right to be in possession of all equipment and data furnished to SDCom and will defend at its expense, such claims against SDCom.

SDCom shall not be liable for any damages, and will have no liability for any claim from customer or third party, directly or indirectly that equipment or data was damaged or rendered unusable during or after service with  SDCom. Data Recovery Customers further acknowledge that the storage media (and/or) data provided to SDCom is in a damaged (and/or) non-readable condition. Customer further agrees to hold  SDCom harmless for any further damages caused by the evaluation and/or recovery process. By clicking submit and/or signing below, you agree to all the terms and conditions of this agreement.






 Customer Name:        ________________________________________________________
                                                                                       (Print)

 Customer Signature: ________________________________________________________
                                                                                       (Sign)

 Date:                                                     __________________________
                                                                                 (Today's Date)