Device Replacement Form
Appointments are set up by date and time only, no unscheduled walk-ins will be permitted. One person will be permitted to pickup/drop off devices during the scheduled Date/Time at our Coatesville Area School district office 3030 C.G. Zinn Road, Thorndale. Please place your broken device in the box marked 'Returns'. Please fill out one form for each device.
Parent/Guardian First Name
Parent/Guardian Last Name
Contact phone number
Student's First and last Name
Student's ID# or email address
Students Home School Building
Broken Device Serial# and/or Asset Tag#
If you have a broken device, please bring it with you and drop it off in the Box. The serial# is located on the bottom of the device. The Asset Tag is the white CASD tag with 5-7 numbers on it. (see example below) If you do not have a broken device, fill in 'no device' in space below. Please provide as much info as possible.
Example: CASD White Tag# or Serial# - Also printed beside QR Code on device if the tags are missing.
Description of Problem
Please provide as much information as possible so we know why the device needs to be replaced or why you need a device.
Please enter the date and time we should expect you below. Our office at 3030 C. G. Zinn Road is open Monday through Friday for pickup/repair between 8am and 3pm.
Days and Times for Chromebook Repair are Mondays - Friday between 8am and 3pm.
Requested Appointment Time.
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Coatesville Area School District.