Chromebook Incident Report: Please complete all sections in detail in order to process the Accidental Insurance. If there is not enough detail chromebooks will not be repaired.
Please complete this form with as much information as possible. If you are experiencing issues with your device not powering on or charging, please follow the troubleshoot directions at this link: bit.ly/SMMDLP

Email address *
When did you notice the issue? *
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School Site *
Grade level *
Last name *
First name *
Student ID# *
Phone number for us to reach you to troubleshoot *
What is the problem with your Chromebook? *
Please explain in a couple sentences what happened to your Chromebook. For example - If the screen broke, how did it happen? *
Chromebook Asset Tag #: *
The asset tag is located underneath your Chromebook.
The asset tag is located underneath your Chromebook.
Was this an accident? *
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