Locker Repair/Request Form
Directions: Fill out the form and submit it. The custodian will be notified and you will be emailed once the repair/request has been made. If the problem cannot be fixed, another locker will be issued by the Front Office.
**Estimated time when locker will be repaired is within 1 school week of submission of this form.
Student Name ( first and last)
Please Select one of the Following
I do not have a locker and wish to have one issued to me
Combination does not work( even though I have tried multiple times to open it.)
The locker is damaged( it opens without using my combination)
The locker is damaged ( does not close correctly and/or latch gets stuck))
Locker Number ( letter and number)-if you have one
Locker combination - if you have one-
Send me a copy of my responses.
Never submit passwords through Google Forms.
This form was created inside of Northside ISD.