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Data Recovery Shipping Form

Data Retrieval Inquiry FormData Recovery Request FormFairfield

Packing and Shipping Your Hard Drive

1. Proper packing will preserve the condition of your hard drive. The media must not sustain any sort of damage, or the chances of recovering your data will diminish.
  • If possible, wrap the media in an anti-static material.
  • Pack the media in a weatherproof box larger than the size of the media, using foam, bubble or any anti-shock / vibration material to surround it. Make sure the drive is secured inside the box to avoid damage due to mishandling
2. Fill out the form below and include it in your package. If you are shipping multiple drives, please create a separate shipping label for each drive and mail them in with your package.

* You must select a media type
   Media Type: 
  Contact Information  

Note: * Required Fields

  Phone:*   - -    ex:    
  Alt Phone:   - -    ex:    
  Fax:   - -  
  E-mail:*     ( )  
  Partner Reference Number:   ( * Partners only )  
  Hard Drive Information  
  Hard drive Brand:    
  Disk Size:  
  Number of Partitions:    
  Operating System:    
List files and directories to be recovered:
  RAID Media Device Information  
  RAID Type:    
  RAID Controller Type:    
Drive Status:
Provide details leading up to the RAID errors, details of any attempt to recover the data yourself, and the results from your recovery attemps:
  Smart Phone and Other Portable Media Information  
  Brand & Model:    
  Password:   ( If applicable )  

Please send your media devices along with a printed version of this form to :

Konicom, Inc.
1819 J Street
Sacramento, CA     95811

You must read the Terms & Conditions below before submitting your form:

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For data recovery please ship or bring your device to Konicom, Inc at 1819 J Street, Sacramento, CA 95811.
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