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YSCP Technology Incident Report
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* Indicates required question
Email
*
Your email
Full Name
*
Your answer
Role
*
Administrator
Student
Teacher
Office Personnel
Incident Date
*
MM
/
DD
/
YYYY
Device Type
*
Laptop
Chromebook
IPad
Phone
Other:
Incident Location
*
Classroom
Home
MPR
Hallway
Other:
Incident details
*
Your answer
Follow Up Action
*
Your answer
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