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EdTech Repair Ticket
This form is for ANY technology repair you are sending to the DO. You will be emailed a PDF summary of this form. Please print a copy to send in with the device.
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* Indicates required question
Location (Site)
*
Choose
Brevig Mission
Diomede
Elim
Gambell
Golovin
Koyuk
St. Michael
Savoonga
Shaktoolik
Shishmaref
Stebbins
Teller
Unalakleet
Wales
White Mountain
DO
NACTEC
Contact Name
*
Your answer
Contact Email
*
Your answer
Phone Number
*
Your answer
Name of Primary User
*
(actual person using the machine)
Your answer
Shipping Method
Mail, RAVN, BSSD, etc
Your answer
Computer Serial Number
*
Your answer
Computer Type
*
Choose
MacBook
MacMini
Chromebook
Other
Did you send the power cord? It only needs to be sent in if the computer is being refurbished.
*
Yes
No
Required
Describe Problem:
Your answer
What have you done to try to fix it?
Your answer
Other Notes
Please note any physical damage.
Your answer
Make sure you Label the computer as EdTech Repair
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