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
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
Lost or stolen
Screen does not light up
Batteries not holding a charge
Need a power cord
What technology will you use while you are waiting for your new Chromebook?
I have a laptop or tablet I can bring to school
home computer that I don't have too share too much
home computer that I share with many others
No other options - If I don't have a Chromebook I don't have any access to do my school work.
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This form was created inside of WATERLOO REGION DISTRICT SCHOOL BOARD.