Recovery Assessment Intake FormPlease provide as much information as possible. Contact Name*Company Name*Email* Phone*ExtensionContact Information of your IT company or person in chargeHow many servers / NAS / PCs are affected? (List all)Are any SQL / CRM / ERP databases affected?Name of Ransomware Infection*Have you found the source of infection?*Please selectYesNoNot SureIf yes, please provide source of infection (RDP port, user error, etc.)Does your company need help protecting your systems before recovery?Please selectYesNoNot SureHave you established contact with hacker?Please selectYesNoNot SureIf yes, what is their demand?Hacker Email AddressHacker Demand Note (Please copy paste entire note content)When did the infection occur?Please selectTodayLess than 1 week agoOver 1 week ago1 to 3 months agoLonger than 3 monthsIs there a monitored firewall in use?Please selectYesNoNot SureDoes your firewall provide ransomware or cybersecurity protection?Please selectYesNoNot SureNumber of computers and servers on the network?Other detailsNameThis field is for validation purposes and should be left unchanged.