Technology Repairs 2020-2021
Form Used for submitting Devices to Mrs. Hise to be sent to technology for Repair
Sign in to Google to save your progress. Learn more
Type of device *
Device Name ( Example)  DHS C20 Or Ipad 25 *
Described type of Repair needed ( i.e.keyboard, cracked screen, camera not working). Be as detailed as possible! *
What caused the device to be damaged? Please explain *
Is an office referral needed *
Person's Name Submitting request *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Burke County Public Schools.

Does this form look suspicious? Report

Google Forms