Chromebook Damage Form
Email address *
Student Name (Last, First) *
Your answer
Green Tag # *
This 4 or 5 digit number can be found on the green metallic sticker on the bottom of the Chromebook.
Your answer
Building *
Brand of Chromebook *
Is the Chromebook still usable? *
Describe the damage. *
Your answer
When did the damage occur? *
MM
/
DD
/
YYYY
Where did the damage occur? (home, classroom, bus, etc.) *
Your answer
How did the damage occur? *
Your answer
Submit
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