Disaster Declaration – Lori Test – Recovery Solutions | The proven leader in disaster recovery services for financial institutions

Institution Name: *

Prepared By: *

First

Last

Title: *

Notification Date: *

Phone Number: *

Notification Type: *

Placed on Standby for Potential Disaster
Disaster Notification

Signature: *

First

Last

I am authorized by the institution to declare a disaster on its behalf. I hereby authorize Recovery Solutions to immediatelybegin disaster recovery actions as outlined in the Enrollment Agreement between the institution and Recovery Solutions.The institution agrees to pay for all recovery activities associated with this disaster declaration.

Authorization Date: *