Request for Device Repair
Use this form to report a problem with your assigned device that could possibly need a repair.
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Date of the request: *
MM
/
DD
/
YYYY
Parent's first and last name: *
Email and/or Phone Contact: *
What is the student's first and last name?
Which school does the student attend? *
What is the Fixed Assets Number on the device? (Find and type the number from the tag on the device. The tag is usually red and white.) *
What problem are you reporting with your district-issued student device? Please let us know what happened and the repair that is needed. *
Is the device still operable? Can the student continue to use the device to complete his/her assignments? *
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