Harwood Union Issued Device Incident Report
Use this form as soon as possible to report lost, stolen, or damaged devices.
Name of Person Filling Out this Form *
Your answer
Student First Name *
Your answer
Student Last Name *
Your answer
What kind of device is it? *
HU Device # *
Look for the asset tag # from Harwood.
Your answer
TA Teacher *
Your answer
Who was the first adult you reported this to?
Your answer
When did you first know of this problem? *
Tell us the date and time if you can.
Lost, Stolen or Broken *
Describe in detail what has happened and/or what the problem is. *
If lost/stolen, tell us when & where the last time it was in your hands and if the power was on.
Your answer
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