Broken/Lost Chromebook Report
Fill out this form to Report your lost or broken Chromebook.

READ THE FOLLOWING CAREFULLY:

1. Generally, there is a $50 charge to replace a Chromebook the first two times. Thereafter, you must pay the full replacement price of $340. Pay for replacements on-line using School Day. Replacement Chromebooks will not be released to the student until the replacement has been paid for.
ALSO NOTE: At the student's Vice Principal's discretion, if it is clear that the Chromebook is willfully and deliberately damaged, the replacement fee will be up to the full $340.

2. If we can repair your Chromebook on site (rather than replacing it), there will be no charge for the repair. Note that only a limited number of types of repairs can be done on site!

3. If you need a power cord, we can provide one at no charge.
Student Last Name *
Student First Name *
Student Number
Parent/Guardian/Family Member Daytime Best Contact Info (phone or email) *
First Period Class
First Period Teacher
Second Period Class
Second Period Teacher
Chromebook Asset ID (the number printed below the barcode on the sticker on the bottom of the Chromebook) - If you have it.
Describe what happened to your Chromebook
Clear selection
What technology will you use while you are waiting for your new Chromebook?
Submit
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