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Chromebook Repair Form
Please fill out this form prior to turning in your Chromebook to your school for repair.
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* Indicates required question
Date that Damage Occurred
*
MM
/
DD
/
YYYY
Student Name
*
Your answer
Student Email
*
Your answer
Student Number
*
Your answer
School
*
Choose
SVHS
Creekside
Adele Harrison
Altimira
Dunbar
El Verano
Flowery
Sassarini
Prestwood
Chromebook Asset Tag#
*
This is the number under the bar code on the tag that reads "Property of Sonoma Valley USD."
Your answer
Please describe damage to device - please be as descriptive as possible:
*
Your answer
Reminder: Fines may be imposed for any damage that is the result of vandalism.
*
I (the student) acknowledge that I have read and understand the above statement.
Required
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