Chromebook Damage/Issue Report
This form is for STUDENTS, PARENTS, FACULTY AND STAFF to report when a chromebook has an issue. This includes any broken pieces of hardware, issues with the chromebook working properly, etc.
Student LAST Name
Your answer
Student FIRST Name
Your answer
Chromebook Model
Your answer
Chromebook Serial Number
Your answer
Date the damage or issue occurred:
MM
/
DD
/
YYYY
Detailed description of damage or issue (just outline what is WRONG here, you will describe what happened next)
Your answer
Please select all that apply below:
Provide a detailed description of WHAT HAPPENED to cause this issue. If you do not know, describe all that you can about the timeline of when the issue started, what you've noticed, if it has been repaired before, etc. If someone else caused the damage, please share who it was and what occurred.
Your answer
Is this a repeat issue and/or has the Chromebook been damaged before?
Your answer
If applicable: Please provide all details of the police report for insurance for a stolen item. Please send in a copy of any documentation to your child's teacher or email to amcnaughton@cfci.net. (provide details of all of your actions below)
Your answer
Reported By: (STUDENT, PARENT, FACULTY, STAFF NAME)
Your answer
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