STEM iPad Insurance Claim Form 2020-2021
Please enter information accurately and carefully for the insurance to cover the repair cost for the iPad. Fill out form below and drop off iPad at STEM between 8am-3pm any school day, except Wednesdays.
Please sign-out in settings; repairs cannot be completed if signed-in.
Signed-in, Please change this to signed-out!
Please remove your case. Cases must be removed.
Yes, my case is removed.
No, please change this to yes.
Is there something taped to the back of my iPad with my name?
No, please change this to yes!
First name of student
Last name of student
Located on sticker on back
iPad Air 2
iPad 5th Generation (sticker on the back will just say iPad)
iPad 6th Generation
iPad 7th Generation
Listed in Settings>General>About or on sticker on the back, it will start with EQC
Please check all that apply
Touch screen failure or screen display problems
Will not power on
What was the date when the damage occured?
Please describe in detail what happened to your iPad? (The insurance company requires explanation of at least 100 words) "I'm not sure" is not a good description.
Please give a good number or email to contact when device is repaired and ready for pick-up. (Usually 3 week turn-around)
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This form was created inside of Savannah Chatham Public School System.