EdTech Repair Ticket
This form is for ANY technology repair you are sending to the DO. You will be emailed a PDF summary of this form. Please print a copy to send in with the device.
Location (Site) *
Contact Person *
Your answer
Contact Email *
Your answer
Phone Number *
Your answer
Name of Primary User of the machine *
(actual person using the machine)
Your answer
Is this a school computer or personal computer? *
We need to be able set priority and school/classroom computer get higher priority.
Shipping Method
Mail, RAVN, BSSD, etc
Your answer
Code to use for Repair Costs
Your answer
Computer Information
Computer Serial Number *
Your answer
OS Version *
Your answer
Model
Your answer
Username *
For Chromebooks type Chromebook
Your answer
Password *
For Chromebooks type Chromebook
Your answer
Items sent in with computer (you can select more than one)
Describe Problem:
Your answer
What have you done to try to fix it?
Your answer
Other Notes
Please note any physical damage and let us know if you need any files backed up.
Your answer
You will be sent a summary PDF of this form. Please print a copy and place it with the computer you are sending in.
Submit
Never submit passwords through Google Forms.
This form was created inside of Bering Strait School District. Report Abuse - Terms of Service - Additional Terms