Step 1: Contact Information:

How did you hear about us?

*Will this be used in court or binding arbitration? Yes   No  

If yes, please explain details

System Information

1. RAID Type: RAID0   RAID1    RAID5   Other 

If other, please explain configuration:  

2. What interface type is your array? IDE   SATA  SCSI   FIBRE

3. Number of drives in the array:      

4. Stripe size: 32Kb   64Kb   128Kb   Other

If other, please explain configuration:        

5. Is the parity rotation Forward   Backward

6. File Format:  (NTFS, FAT, HFS, EXT2…, NFS, UX, ETC.)

Failure Information:
* 1. What type of failure occurred and when did it happen?  Were there any error messages? What (if any) recovery attempts were made?  What tools were used? *800 character limit

Data Information

* 1. What files are MOST important to the recovery? When were they last accessed? *800 character limit

Authorize the Evaluation

By signing below you authorize DIGITALMEDIX™, Inc. to proceed with the evaluation pursuant to the terms and conditions set forth in the Service Agreement.

Signature:______________________Date:______________

Please notate all drive positions and label each drive from 0 to end disk in the LUN.  Additionally, we ask that you provide us with the RAID controller card.  If this is integrated, please bring the whole server if at all possible.