2024-2025 IMS Student Chromebook Repair Request Form

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This form is for students with a district issued chromebook during the 2023-2024 school year that needs repair. Please refer to the District Issued Mobile Device Guide for information on coverage and charges for district devices. This guide is located on the district website under the Instructional Technology page.

Email *

Student LAST Name *

Student First Name *

Student's FIRST PERIOD Teacher *

Student Grade *

STUDENT's school email address *

Chromebook Issue (be specific) *

PLEASE be specific. You may check more than one box or add Other and list specific.

Keys do not work

Will not power on

Damaged Screen

No wifi connection

Needs a new charger ($20 fee must be paid before new charger is issued)

Other:

Required

Please describe any additional information:

A copy of your responses will be emailed to the address you provided.

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This form was created inside of Lexington/Richland School Dist. 5.