Data Extraction Requisition Form

Data Extraction Requisition Form
Company or Law Firm Name
Name

First NameLast Name
Phone Number
Format: (000) 000-0000.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Select the device(s) and or source(s) that require data extraction? Mark all that apply.

Other
Select what information needs to be extracted? Mark all that apply.

Other
Date extraction is needed?

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Is expedited services required?
Case ID or file name?
Extraction Date Range - From

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Extraction Date Range - To

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
What is the estimated number of search keywords?
Extracted data needs to be ingested to a discovery platform?
Additional notes:
Should be Empty: