Accurate Data Recovery
18 Hurndale Ave
Toronto, Ont
Canada, M4K 1R7
local: 416-465 4103 / Fax: 416-465 7223
1 - Complete the following online form. [or if you prefer a manual evaluation form, click here.]
2 - Click the "print" button on your browser to print this form.
3 - Click the "submit" button at the bottom of this page to e-mail us your information.
4 - Sign the printed form and package it with your drive for shipment.
5 - Please follow the Shipping Insructions given at the bottom of this form, or see our Shipping Details page.
Step 1 Completing the Form - * indicates required fields.
Company Name:
Email: *
Contact Name: *
Phone Number: *
Fax Number:
Street Address: *
City: *
Country: *
State/Province: *
Zip/Postal: *
Please try to fill in as much detail as possible:
Type of computer:
Operating System (example - Windows XP):
Unix/Novel Admin Name:
Number of Partions/Volumes:
Volume Names:
Tape Drive, Model:
Backup Software:
Hard Disk, Make/Model: *
Capacity Gb:
Serial Number:
Is the Drive under Warranty? Yes No
Disk Interface: SATA ATA100 IDE Enhanced IDE SCSI
Compression: None Double Space Stacker
Other: Compression Software Version (ex.V7.0):
Detail events leading up to your disk/tape failure ( noises heard etc.): *
Does the computer see the drive? Yes No
List files and directories most needed:
Where did you hear about our company?
Search Engines Yahoo Yahoo paid add ASK Google paid add Google

Excite Comcast MSN AOL DogPile
Other Sources (newspaper, magazines, word of mouth, etc.):
Tell us what KEYWORD you searched under to find us:
Shipping Information

It is very important to fill out the air waybill form (shipping document) correctly in order to avoid any delays in processing your disk through customs.

Please indicate that the contents are a "Computer disk for data recovery repair only. Non-functioning". The harmonized code is 8471.70.10.13

The value for Customs should only be
$10.00 in order to minimize any delays for taxes or duties payable.

If you are sending the package by
by GROUND service please ensure that custom brokerage charges are paid by the sender. Accurate Data Recovery will not pay for Customs clearance on inbound shipments.

Terms of Agreement

I, the undersigned have legitimate rights to this data storage device and the data stored on it. I authorize Accurate Data Recovery determine if data recovery is possible and provide an estimate of the recovery costs.

Approved, authorized by: Name (please print): *

Signature of authorized:____________________

Date: *

Once completed please put this form in the box with the disk and fax the shippers tracking number to Accurate Data Recovery.

Step 2
_ _ Print this form out, and sign.
Step 3
Accurate Data Recovery
18 Hurndale Ave
Toronto, Ont., Canada,

M4K 1R7
Tel.: 416-465 4103
Fax: 416-465 7223
Toll Free:
1-888 241 3282
Customer Support:

Web Address: