DEVICE REQUEST
SUPPORT DESK: PS214K | NYCDOE DEVICE REQUEST FORM
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WELCOME TO THE DEVICE REQUEST FORM
USE THIS FORM TO OFFICIALLY REQUEST A NEW DEVICE FOR YOUR CHILD.

π“πŽ π’π”π‚π‚π„π’π’π…π”π‹π‹π˜ 𝐔𝐒𝐄 π“π‡πˆπ’ π…πŽπ‘πŒ 𝐓𝐇𝐄 π…πŽπ‹π‹πŽπ–πˆππ† πŒπ”π’π“ 𝐁𝐄 𝐓𝐑𝐔𝐄:

Β  β˜… THE STUDENT IS OFFICIALLY ENROLLED AT PS214K.
Β  β˜… THE STUDENT HAS NOT BEEN ASSIGNED OR IS IN POSSESSION OF A SCHOOL DEVICE.
Β  β˜… YOU ARE THE PARENT OR GUARDIAN OF THE STUDENT
Β  β˜… YOU WILL ASSUME RESPONSIBILITY FOR THE DEVICE.
Β  β˜… WHEN PICKING UP THE DEVICE YOU WILL SIGN THE DEVICE LOAN AGREEMENT
π‘ͺ𝑳𝑰π‘ͺ𝑲 𝑡𝑬𝑿𝑻 𝑻𝑢 𝑺𝑻𝑨𝑹𝑻
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