MMS iPad Damage/Malfunction Reporting
After completing this form please go to room 107 and complete the form that provides us with your passwords and other necessary information to complete your repair request. Students should give the device to your grade level technologist or deliver it personally to Mrs. Bias ASAP!
Grade Level *
First Name *
Your answer
Last Name
Your answer
WVEIS Number *
This is your 9 digit school identification number.
Your answer
KCS Tag Number *
This information is on the bottom of your lock screen. If you cannot read it, take a screen shot and make it larger.
Your answer
Date the problem occurred. *
MM
/
DD
/
YYYY
Description of the problem. *
Please be as detailed as possible, the more information we have the easier it is to fix it.
Your answer
Did you purchase insurance? *
Submit
Never submit passwords through Google Forms.
This form was created inside of Kanawha County Schools. Report Abuse - Terms of Service - Additional Terms