Service Request Form

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Service Request Form

Please, fill out this form and submit it to us.
An incomplete or incorrectly filled out form will result in delays in your data recovery.
You will receive a notification letter via email which must be signed and sent to us with the media to be recovered.

1. Contact Information

* First Name:	*Street Address:
* Last Name:	* City:
Company:	State\Province:
* Phone:	* Country:
Phone 2:	* Postal Code (ZIP):
* E-Mail:
	NOTE: The email address you supplied will be used to send you a notification letter which you need to sign and enclose in your package.

2. Media information

Operating System:
Media Type:
File System:
Briefly, describe the failure and its causes:
What steps did you take to recover the Data?:
Does the drive appear to be physically damaged?	No Yes
Does it make unusual noises?	No Yes
Was the drive compressed using a compression program such as DoubleSpace™ or DriveSpace™ ?	No Yes, Software and version used:
Was the drive protected from viruses using an antivirus program?	No Yes, Software and version used:
Is the hard drive:	The primary hard drive the secondary hard drive or the only hard drive in the computer? Part or entire RAID?
Is an EIDE card or RAID controller card used to translate between the computer and the hard drive?	No Yes, EIDE card Name:
Is the hard drive from a Name-Brand computer such as Compaq, Dell, or Hewlett-Packard?	No Yes, Brand of Computer:

3. Data Recovery request

What are the most important files, folders, and directories to be recovered? Please be specific as to file names, folder names, file types.
How should the data be returned to you?	Data written to submitted media, Data written to CD ROM, Data written to DVD ROM, Data written to Zip disk, Written to the formatted drive I have included, I wish to buy a hard drive from you, Other (specify):
Do you want Priority Rush Service?	No, Regular Turnaround is Okay Yes, Rush my Recovery

4. Return Shipping Information

Return shipping method:	Pick Up, UPS Air, UPS Ground, FedEX Air, FedEX Ground, Other (specify):
Return shipping payment method:	Use my UPS Account Number: Use my FedEx Account Number: Other (specify):
Return Shipping Insurance:	Check one of the following: I am declining shipping insurance. Active Data Recovery @ Toronto and LSoft Technologies Inc will not be held responsible for any damages, loss, or theft that occur in transit. I am purchasing shipping insurance from the shipper (UPS, FedEx or Other). I fully understand the coverage this insurance provides. (Only covers replacement of hardware, not data.). Value to insure: $ If this area is left blank, your data will not be insured.

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