Insolvency IT Consultant Request Form:

Use this form to submit your new case details to insolvencyIT

Incomplete text boxes will highlight in red.

IP firm name:

IP firm address:

Postcode:

Insolvency Practitioner Contact Name:

Insolvency Practitioner Contact Email:

Telephone Number of Contact:

Type of appointment:

Name of case:

Primary contact on site in management or IT dept:

On Site Contact Telephone Number:

Site Address:

I confirm primary contact has been requested and has authorised access to data

Deadline date for backup to be available by

December 2024

Mon

Tue

Wed

Thu

Fri

Sat

Sun

Data required, please tick all applicable options:

Full Server Backup

Email Messages

Electronically Filed Tax Returns

H R Records

Other: (Please Specify)

Others - please specify:

Accounting software data – please specify package used

Sage Line 50

Sage Line 50 Payroll

Quickbooks

Sage 200 / MMS

MS Money

Excel Data and Spread Sheets

Other

Others – please specify: