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EdTech Repair Ticket
This form is for ANY technology repair you are sending to the DO. Please, remember to print this form and include it with the equipment you send in to be repaired, you may also want to print one for your records.
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, ERA, 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
Your answer
Password
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
Please be sure to print before you submit. Please place a copy of the printed form with the computer you are sending in.
Submit
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