HTI Data Recovery Form

For an evaluation of your data recovery situation, please:

  1. Complete this form with as much detail as you can.
  2. Print and sign the completed form.
  3. Click on the send button, indicating you have read and understand the service agreement
  4. Package and ship your media with a signed copy of this form.
  5. If your business requires a different confidentiality agreement please include that as well. HTI will honor it.
  6. If any of the recovery effort is in support of possable litigation please ship to one of the listed FedEx locations and have it held for pickup. This is to ensure positive control of the media for "Chain of Custody" evidence purposes.

Step 1: Complete the following - * indicates a required feild

What is the name of your organization?

Your Contact Information:

Your Name: *
Daytime Phone: *
Cell Phone:
Email Address: *
Street: *
City: *
State: *
Zip/Postal Code: *

What was the primary role for the media:

Please try to fill in as much detail as possible:

What is the operting system:

Number of Partions/Volumes:

Type of media:

Type of hard drive:

Estimated Size of the hard drive:

Drive Manufacture:

Drive Model Number:

Drive Serial Number:

Does your computer see the drive:

Are there any known passwords to access the media: IF yes, HTI will contact you for the details.

Was the data stored using compression:
If yes, what is the compression software:

Was the data stored using backup software:
If yes, what is the name of the sofware:

Optional Service Selections
Emergency: $500.00 USD
Water Damaged: $750.00 USD
Raid Recovery: $500.00 USD
Local Pickup and Delivery : $100.00 USD

Circunstances leading to data loss (noises heard etc.)*:

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

Exactly what needs to be recovered:


How did you hear of us?

Step 2: Read the Service Agreement.

Step 3: Read the shipping instructions.


Customer Name:
Customer Signature:
(Today's Date)

Once completed please inculde this form with the media or fax it to HTI along with the shippers tracking number.

Step 4: Print and sign the form.


By submitting this form, you are agreeing to our Terms & Conditions.