Sample certificate of data destruction

This is the format you receive for every request. Serial numbers and names below are fictitious.

ETR

Enterprise Technology Recovery

Certificate of Data Sanitization and Destruction

No. ETR-261104-7QK2-C

Client
Example Health Partners LLC
Request
ETR-261104-7QK2
Collected
2026-11-04
Standard
NIST SP 800-88
Data-bearing units
5 of 5 shown
LineHost serialMedia serialMediaMethodResultDate
00015CG2147QXRS6PNNF0R2NVMe 512GBPurge, crypto eraseVerified2026-11-05
0002PF3KX9M22J4520137SSD 256GBPurge, block eraseVerified2026-11-05
0003SRV-03 / J30ABC1WD-WX81A7HDD 2TBDestroy, shredDestroyed2026-11-06
0004C02FK1Q4(soldered)Apple SSD 512GBPurge, crypto eraseVerified2026-11-05
0005WS-117 / MXL0451S4EVNF0NSSD 1TBPurge failed, destroyedDestroyed2026-11-06

ETR certifies that the storage media listed above, received under the referenced request, were sanitized or physically destroyed using the methods shown, and that each result was verified and recorded against the media serial number. Media that failed verification were physically destroyed.

Technician, signature and date
Operations manager, signature and date