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 students submit the request, parents will receive a cc on subsequent emails.
Student Name (First & Last Name)
Parent/Guardian Name (First & Last Name)
Parent/Guardian Daytime Phone Number
Date of Incident or Damage
Description of Incident or Damage
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This form was created inside of Anderson-Shiro CISD.