Document Preservation Notice Acknowledgement Form For Non-employees "*" indicates required fields Name* First Last Email* Matter name, as listed on Document Preservation Notice:*Date of Document Preservation Notice:*MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Identify the role(s) you held with respect to this matter:* Peer reviewer IAC member Board member Other (please specify below) Please specify:Check the box to confirm the following statement:* I have reviewed, understand and, to the extent applicable, agree to abide by HLC’s Litigation Hold policy and Litigation Hold procedures, which I received in the Document Preservation Notice email. Documents and InformationDefinition “Documents and information” means: Hard copy documents and information, including handwritten notes, personal notes, faxes, correspondence, letters, minutes, agenda, preliminary drafts, raw data, notebooks, calendars, reports, presentations, photographs, printouts, and any other hard copy documents and information maintained, created, or received by HLC or its representatives. Electronic documents and information including computer files, e-mail messages (including attachments), instant messages, chat conversations, word processing documents (including drafts and mark-ups), spreadsheets, presentation files, digital photos, file scans, database information, calendars, telephone logs, contact manager information, Internet usage files, video and audiotapes, phone messages, and any other electronic information maintained, created, or received by HLC or its representatives. Electronic documents often contain metadata. Metadata is embedded information about the document. This could include, for example, author, date created, date last modified, etc. As detailed below, as applicable, metadata must also be preserved and collected. Documents and information may be located on computer systems, computer hard drives, laptop computers, removable media (e.g., CDs and DVDs, flash drives), smart phones, and any other locations where hard copy and electronic documents and information are stored (“systems and devices”). These systems and devices may be owned and/or managed by HLC, by other entities, or by individuals. ConfirmationI confirm that:* I have created or received documents or information that are within the scope of the Document Preservation Notice. I have not created or received documents or information that are within the scope of the Document Preservation Notice. Check the box to confirm the following statement:* I have reviewed, understand, and agree to abide by the above-mentioned Document Preservation Notice that I received from HLC’s Legal and Regulatory Affairs department. 1. Hard-Copy Documents Do you have any of the following types of hard-copy documents that are potentially relevant to the Document Preservation Notice? Please check each applicable document type and provide the location of the item(s) in the space provided.Printed documents:* Yes No Location:*Handwritten notes:* Yes No Location:*Calendars:* Yes No Location:*Photographs or audio/video recordings:* Yes No Location:*Other:* Yes No Document type:*Location:*2. HLC Systems Which of the following HLC systems have you used to create or receive electronic documents and information that are potentially relevant to the Document Preservation Notice? These include but are not limited to the HLC Portal or the Assurance System. Please check each applicable system and provide the additional information requested in the space provided.Canopy:* Yes No Location of potentially relevant electronic documents and information in the system:*Assurance System:* Yes No Location of potentially relevant electronic documents and information in the system:*Other:* Yes No HLC system:*Location of potentially relevant electronic documents and information in the system:*3. Systems and Devices Which of the following systems and devices might contain electronic documents and information that are potentially relevant to the Document Preservation Notice? Please check each applicable system and device listed, and provide details for each in the space provided.External media (i.e., flash drives, external hard drives, etc.):* Yes No Details:*Personal device (i.e., phone, iPad, non-HLC computer, etc.):* Yes No Details:*Non-HLC systems (i.e., Google Drive, DropBox, systems related to your place of employment, including email):* Yes No Details:*Other:* Yes No System or device:*Details:*4. Other InformationPlease provide any other information that you think is important for HLC to know about the documents and information that you have created or received that are potentially relevant to the Document Preservation Notice. (Optional)Thank you. Please click the Submit button below to complete the form. A member of HLC’s Legal and Regulatory Affairs department will contact you to discuss further.CAPTCHACommentsThis field is for validation purposes and should be left unchanged.
