ASCISD Chromebook Repair Form
Submit all incidents involving repairs, replacements, loss, or theft of Chromebooks below. After submitting this form, you may drop the Chromebook off in the library with Mrs. Hesterman. If you believe your Chromebook was stolen, you need to also notify the Principal/Assistant Principal.

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Email *
Student Name (First & Last Name) *
Parent/Guardian Name (First & Last Name)
Date of Incident or Damage
MM
/
DD
/
YYYY
Description of Incident or Damage *
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