Chromebook-Laptop Repair Request Form

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This form should be used if your child's laptop or Chromebook is not working or in need of repair. Once the form is completed and submitted someone from the Technology Department will contact you to schedule an appointment to repair your child's Chromebook-Laptop.

Email *

Last Name *

First Name *

Address *

City *

Zip Code *

Telephone Number *

Alternate Telephone Number

What type of device is in need of repair? *

Chromebook

Laptop

iPad

Required

What school is your student enrolled? *

Chester High School

STEM Academy at Showalter

Toby Farms Intermediate School

CUSA (Chester Upland School of the Arts)

Main Street Elementary School

Stetser Elementary School

Required

Please list name and student ID number for your child. *

Briefly describe the problem you are having with the laptop and how long the laptop has had the problem. *

Check all that apply *

Laptop will not start

Laptop turns on but will not do anything else

Power cord is missing or broken

Keys on the lap top are sticking or do not work

Required

A copy of your responses will be emailed to the address you provided.

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