2017-18 Student Chromebook Damage Report
Note: Complete the form; you will get an email showing your responses, which you will then print out and attach to your Chromebook when turning it in to the library for repair.
Email address *
Describe the problem with your Chromebook. If applicable, explain what happened to cause the damage. *
Your answer
Today's date *
MM
/
DD
/
YYYY
Student Name *
Your answer
Homeroom Advisor *
Your answer
Check which Chromebook you have: *
Required
What is the serial number of your Chromebook? *
Your answer
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
Submit
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