ASCISD "Connect to Tech" Incident Form
Submit all incidents involving repairs, replacements, loss or theft of Chromebooks below. You will be emailed a response within 24 hours. Either student or parent may submit the request. If student's submit the request, parents will receive a cc on subsequent emails.

Email address *
Student Name (First & Last Name)
Your answer
Parent/Guardian Name (First & Last Name)
Your answer
Parent/Guardian Daytime Phone Number
Your answer
Date of Incident or Damage
Description of Incident or Damage
Your answer
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