Send / Announce Data Recovery Case

Please fill out our order form and press the Send / Announce Data Recovery Case Button after ist. Absenden Button unter den Eingabefeldern. In case of BOLD fields an information must be given, otherwise the the form can not be sent.

Describtion of Problem

Problem Description:
What kind of data and folders is most important to you ? (It is very helpful for us, if you give some informations to the filenames, extentions or folder names):
What did you do, after the data loss or problem has appeared:
Ammount of partitions: (Partition, Volume e.g.: "C:, D:"):

Details to data carrier:

Type of data carrier:
Manufacturer of data carrier:
Model-Name:
Capacity:
Serial-Number:
Filesystem:
Operating System:
If neccessary the data carrier will be opened in our clean room! (This can mean the loss of warranty, if the device is still in manufacturers time of warranty.)
I accept Please do not open the data carrier in clean room
Shall we send back the orignal data carrier ?
Yes (additional shipping costs) No

Time of analysis

Time of analysis (Price List):
By checking this box i read understand and accept the general business terms (GBT) of KUERT Data Recovery GmbH General Business Terms (GBT)
Yes No

Details for data recovery

Target Drive:

Customer details

Mr./Mrs. Company
Last Name: Surname:
Street:
ZIP Code:
City:
Country:
E-mail:
Phone-Number: Fax-Number:

Questions to Data Recovery ?
0032 11 360 266‏
Just tap to call

Questions to data recvoery ?
0032 11 360 266‏