Device Repair Request Form
This form is for hardware problems only.
Student's First name *
Student's Last name *
Grade *
Homeroom Teacher *
Your email address *
Your phone number *
Type of device *
The power adapter on my Chromebook is the following: *
Asset tag # on device *
Bar code label with 6 digit number starting with 00.
Please describe the issue you are having with your device *
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