Client Intake Form - Bitterroot Data Recovery

Client Intake & Service Authorization | Bitterroot Data Recovery

Client & Device Information

Client name *

Phone *

Email *

Date received

Device / media type *

Brand / model

Capacity

Serial / identifying marks

Requested service / data sought *

Reported problem / symptoms *

Service Authorization

I authorize Bitterroot Data Recovery to inspect, diagnose, and perform the work I approve on the device or media listed above.

Diagnostic findings are estimates and may change as additional work is performed. Pricing may vary based on complexity, hardware condition, labor, and required parts. Payment is due before release of recovered data or completed equipment unless otherwise agreed in writing.

Data Recovery & Device Risk

I understand that data recovery and repair may involve devices that are already damaged, unstable, or partially failed. Recovery or repair cannot be guaranteed. Diagnostics, imaging, recovery attempts, disassembly, firmware or software changes, and other troubleshooting may result in additional hardware failure, additional data loss, or permanent unrecoverability because of pre-existing conditions.

Bitterroot Data Recovery does not guarantee recovery of any specific file, folder, amount of data, repair outcome, or restoration of device functionality.

Ownership, Authority & Confidentiality

I represent that I am the lawful owner of the submitted equipment/media or am authorized by the lawful owner to request these services, and that the submitted device does not contain illegal content.

Client data is treated as confidential and is accessed only as necessary to perform the requested services.

Recovered Data Delivery & Retention

Standard retention: Recovered data may be retained by Bitterroot Data Recovery for up to 30 days after delivery for verification or re-delivery purposes. After that period, recovered data may be permanently deleted without notice.

Optional retention opt-out: I do NOT want BDR to retain a copy of recovered data after delivery.

By opting out and initialing above, I request that Bitterroot Data Recovery delete its working/recovered-data copy after successful delivery and reasonable verification of the transfer, rather than retaining it for the standard up-to-30-day re-delivery period. I understand that this may prevent BDR from re-delivering recovered files later without performing another recovery, if another recovery is possible.

Limitation of Liability

To the fullest extent permitted by law, Bitterroot Data Recovery shall not be liable for data loss, business interruption, lost profits, loss of opportunity, software corruption, hardware failure, incidental damages, indirect damages, consequential damages, or emotional distress. Total liability shall not exceed the amount paid for the services performed.

Abandoned Devices & Right to Refuse Service

Devices not claimed within 90 days after service-completion notification may be considered abandoned and may be wiped, recycled, disposed of, or otherwise processed without further notice.

Bitterroot Data Recovery reserves the right to refuse service, including for suspected illegal content, unsafe equipment, or work beyond available capabilities.

Client Agreement

I acknowledge that I have read and understand this intake form and agree to the Bitterroot Data Recovery Service Terms & Liability Waiver. These terms are governed by the laws of the State of Montana and applicable United States law.

I have read, understand, and agree to the statements above. *

Printed name *

Date *

Client signature *

Typing your name here is intended to serve as your electronic signature.

BDR Use

BDR representative

Internal record notes / authorization details

If customers complete this form remotely, consider keeping internal-only notes outside the public form.

Please review all information before submitting.