Tech Ticket
Email *
First Name *
Last Name *
Lunch Number *
Advisory Teacher *
Grade Level *
Asset ID/Computer Number *
This is the number from the barcode sticker on your Chromebook.  You can also find it in the upper right hand corner of the log in screen.
What is broken? *
How did it happen? *
  • Was the device dropped or did it fall off a desk?

  • Where did the drop or fall happen? Was it in class, outside, or in the halls? 

  • Did anyone bump into you which caused the device to fall?

  • Were there any objects that were left in between the keyboard and the screen when the device’s lid was closed?

  • Did any water or soda get spilled on the device around the time the device stopped working? 

A copy of your responses will be emailed to .
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Denver Green School.

Does this form look suspicious? Report