SD150 - iPad Incident Form
Please complete the form and turn your iPad into the Technology Department .
* Required
Full Name
*
Your answer
Student ID Number
*
Your answer
Grade
*
Choose
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
iPad Asset Tag Number
*
Your answer
Date of incident.
*
MM
/
DD
/
YYYY
Location device was broken.
*
Your answer
Please list any witnesses to the device being broken.
*
Your answer
Type of damage to device.
*
Your answer
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