Device repair form

Device repair form

Sign in to Google to save your progress. Learn more

* Required

Email Address *

Full email address

Your answer

First and last name: *

Your answer

Building *

Choose

Kenton Elementary School

Kenton Middle School

Kenton High School

Grade *

Choose

PS

K

1

2

3

4

5

6

7

8

9

10

11

12

Device ID #: *

Your answer

What is the problem with the device? *

Broken screen

Keyboard issue

Software issue

Power adapter broken/not working

Power adapter missing

Won't charge

Laptop case damaged/missing

Other:

Required

Describe what happened: *

Your answer

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Kenton City Schools. Report Abuse