Request for Assistance Form
Complete the form and a Hearthstone staff member will contact you shortly.
Student first and last name
Best contact phone number
What do you need assistance with?
Device (Chomebook, tablet, phone, laptop, desktop)
Replacement materials and technology
Zoom class or meeting
If other, please explain what you need assistance with
If not student, who is completing the form?
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Butte County Office of Education.