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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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* Indicates required question
Date of the request:
*
MM
/
DD
/
YYYY
Parent's first and last name:
*
Your answer
Email and/or Phone Contact:
*
Your answer
What is the student's first and last name?
Your answer
Which school does the student attend?
*
Como Primary School
Greenhill Intermediate School
North Panola Middle School
North Panola High School
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.)
*
Your answer
What problem are you reporting with your district-issued student device? Please let us know what happened and the repair that is needed.
*
Your answer
Is the device still operable? Can the student continue to use the device to complete his/her assignments?
*
Yes
No
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