$300 Data Recovery - Hard Drive Destruction Form

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Enter device(s) serial number (if unsure, write some unique number from the drive's label):*

Manufacturer:

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Enter device(s) serial number (if unsure, write some unique number from the drive's label):

Manufacturer:

Model:

Enter device(s) serial number (if unsure, write some unique number from the drive's label):

Manufacturer:

Model:

Enter device(s) serial number (if unsure, write some unique number from the drive's label):

Manufacturer:

Model:

Enter device(s) serial number (if unsure, write some unique number from the drive's label):

HARD DRIVE DESTRUCTION TERMS & CONDITIONS (Check ALL to indicate you agree)*

I am the owner of all devices listed.The items listed were delivered to a $300 Data Recovery representative.I am authorized to request destruction of the devices listed.The listed items are intended to be destroyed, and cannot be returned with data intact under any circumstance.$300 Data Recovery will not assume responsibility for sensitive data present on devices collected for destruction.$300 Data Recovery cannot validate that all data has been completely erased from submitted devices.$300 Data Recovery will handle and store all devices submitted for destruction as if it contains sensitive data.Once $300 Data Recovery collects devices, the data on the media should be considered to be destroyed and completely unrecoverable.

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$300 Data Recovery's Hard Drive Destruction Form