OPES Student Chromebook Repair Request Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

This form is for students with a district issued Chromebook that needs repaired while your student is in virtual learning. Please refer to the District Issued Device Agreement for information on coverage and charges for district devices. This guide is located on the district website under the Instructional Technology page.

Please complete this form and someone will contact you as soon as possible to first try and fix the issue remotely. If we need to issue a loaner to repair the device in person, we will set up an appointment. Please do not come to a school/office without an appointment as there may not be someone there at that time to assist you.

Student LAST Name *

Student First Name *

Student Grade *

Who is your child's teacher? *

Chromebook Issue (be specific) *

PLEASE be specific. You may check more than one box or add Other and list specific.

Keys do not work

Will not power on

Damaged Screen

No wifi connection

Needs a new charger

Other:

Required

STUDENT school email address *

PARENT Name *

PARENT email *

PARENT phone number *

BEST Contact number during the day *

Please describe any additional information:

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Lexington/Richland School Dist. 5. Report Abuse

Forms