Chromebook Repair Form

Please fill out this form when a Chromebook is defective, damaged, or need of repair. A “loaner” Chromebook may be issued to a student while the first is being evaluated & repaired. Students are responsible for both the liability of the loaner device as well as their original Chromebook. School staff will notify students when their device has been evaluated and/or repaired via the contact information provided below.

Please complete all the necessary fields accurately.

Student Section

Student First Name *

Student Last Name *

School Child Attends *

Date of Birth: * +

Student ID *

Date * +

Chromebook Serial Number: Found on bottom of device *

Student Email Address: *

Problem Category (Check all that Apply) *

Describe Issue: *

By signing this form, I understand that I am responsible for all damages or repairs associated with the Chromebook unless it is determined to be defective in which case NSC will cover all repairs.

Signature: *

clear

Date * +

Chromebook Request Fee

Based on the issue described you will be charged the amount listed:

Price: *

PLEASE NOTE: All Borrowed Technology Must be returned when students return to school

For any technical questions, contact NSC Technology Help Desk, helpdesk@normandysc.org Phone: (314) 624-0806, or visit www.normandysc.org – Technology