Please use one form for multiple computers. (It is not necessary to submit separate certification forms for each computer.)
(Please PRINT this form; sign, date, and attach it to your ACT-39 form.)
I have personally verified for each of the following computers, listed on ACT-39 #_____________, that the hard disk was operating during my examination and that each disk contains no recoverable confidential, sensitive, proprietary or copyrighted data or programs prohibited by their license to remain. In lieu of such an examination, I know absolutely that the disk(s) contain no such information.
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________________________________ Print Name |
________________________________ Signature |
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________________________________ Date |
________________________________ Department |
_____________________ U-Box Number |
| Check this box if the hard disk could not be verified and needs degaussing. |
| UCONN # ON COMPUTER: |
DESCRIPTION:
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