NDCA. Computer Hardware Data Form. (08/2008). Name: USPO: Complete this
form in full and return to your U.S. Probation Officer within seven days. You are ...
Computer Hardware Data Form
NDCA (08/2008)
Name:
USPO:
Complete this form in full and return to your U.S. Probation Officer within seven days. You are to provide full information regarding all computers and accessories you have access to. If you are unsure about what to report, ask your U.S. Probation Officer. If you need additional space, write on a separate sheet of paper referencing the item. If an item does not apply mark “not applicable” or “N/A”. Complete for each computer you have or use: Computer
of
Brand:
Serial No.:
BIOS Revision:
Model:
MHZ:
RAM Size:
BIOS Password: Where is this computer maintained at? Is this computer used for business, education, or home? How many people have access to this computer?
Who and why?
List all user accounts configured on this computer. Indicate your user account(s) by checking the box next to User Name: G G G G G
USER NAME ___________________ ___________________ ___________________ ___________________ ___________________
PASSWORD ___________________ ___________________ ___________________ ___________________ ___________________ 9 Yes
Is this computer networked?
9 No
If so, indicate assignment on network: Hard Drive Information Currently, how many hard drives does this computer have in it? For each hard drive provide the following information. (Use additional sheet, if necessary). Model No.:
Serial No.:
Identified by operating system as drive letter(s):
Drive size:
Hard Drive
of
Can your computer boot from this drive? 9 Yes 9 No If so, what is the name and version of the operating system(s)(MAC, Windows, Linux, etc.)?
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Computer Hardware Data Form
NDCA (08/2008)
Is this drive a primary or slave drive? Is this drive partitioned? If so, how many partitions? Partition
What is its configuration? 9 Yes 9 No Provide the following information for each partition.
Size & Format (Fat 16/32, NTFS, etc.)
Operating System Designation
Bootable Name of Operating System
of of of of Use additional sheet if necessary to provide partition information. What is the configuration of all IDE/SCSI slots in this machine? Do any of the settings permit the “hot” swapping of hard drives or external drives?
Additional Hard Drives Not in Use List all hard drives that are not installed that you have access to. (Use additional sheet, if necessary, to provide full information.) Serial No.
Size
Where Maintained
External Drives Provide the following information pertaining to all drives that use removable media, examples of such devices: CD/DVD, CDR, CDRW, ZIP, JAZ, SCSI, etc. (Use additional sheet, if necessary, to provide full information.) Description
Serial No.
Where Maintained
Modems List all modems and/or modem cards, whether internal or external, for the above computers. (Use additional sheet, if necessary, to provide full information.) Internal/External
Model/Serial No./Speed
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Where Maintained
Computer Hardware Data Form
NDCA (08/2008)
Other Accessories
List all peripherals and expansion cards that you own/possess. Examples are Palm Pilots, digital cameras, scanners, printers, thumb drives, SCSI, NIC or video cards, etc. (Use additional sheet, if necessary, to provide full information.) Device
Model
Serial No.
SOFTWARE List major software you possess.
Do you have licenses for all copyrighted software on your system(s)? 9 Yes 9 No If yes, details:
Do you have any shareware or freeware on your system(s)? 9 Yes 9 No If yes, details: Do you have any encryption or steganography software? 9 Yes 9 No If yes, details: Do you have any viruses, worms, or other malicious software? 9 Yes 9 No If yes, details: Do you have any monitoring/filtering, spyware detection software on your system(s)? 9 Yes 9 No If yes, details: Do you have any software that erases all residual information on any media? 9 Yes 9 No If yes, details:
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NDCA
Computer Hardware Data Form
(08/2008)
Provide the name of any software that you installed or had installed on your computer system(s) that was not part of the computer system when it was purchased.
Provide the name of all software operating system(s) you have.
Provide the name of any anti-virus or firewall software you have. Provide the names of any software you possess that permits instant message, Internet Relay communication, or similar method of real time communication. Also include any file-sharing application (i.e. Kazaa, MIRC).
Remote Storage Provide complete details regarding any storage locations that are not reflected above. Information to include: Location (be specific), how much storage space you have, method for paying for space, purpose of having this storage space, and password to access location.
Passwords Password
List any passwords that are not reflected above that have access to systems, files, storage, etc.
For
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NDCA
Computer Hardware Data Form
(08/2008)
To the best of my knowledge and belief, the information I have provided in this statement is true, correct and complete. I understand that a false statement on this form may result in a violation of supervision or a separate charge of false statements under 18 U.S.C. §1001 (up to five years imprisonment, a fine of $250,000, or both).
Signature
Date
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NDCA
Computer Hardware Data Form
(08/2008)
Additional Page
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