Belle Plaine Schools iPad Claim Form
Have your Media Center Professional assist you with the completion of this form:
Email address *
Claim Type *
Student First Name *
Your answer
Student Last Name *
Your answer
School *
Parent Email Address *
Your answer
Date of the Incident *
Your answer
Asset Tag # (sticker above serial number) *
Your answer
iPad Serial Number (type carefully!) *
Your answer
Describe the incident and what is damaged/not working: *
Your answer
A copy of your responses will be emailed to the address you provided.
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