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RHAM Student Device Repair Form
If your Chromebook is not functioning or unusable, please stop by the media center to drop off your device for repair. They will be able to provide you with a loaner.
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* Indicates required question
Student Name
*
Your answer
Email Address
*
Your answer
Student ID
*
Your answer
Today's Date
*
MM
/
DD
/
YYYY
Grade
*
MS 7th Grade
MS 8th Grade
Freshman
Sophomore
Junior
Senior
What is the issue with the device
*
Dead (Does not show any signs of life)
Cracked LCD Screen
Broken Hinge
Missing Key(s)
Network connectivity
Missing screws
Does not charge (ac power only)
Cracked plastic
Lost Device
Other:
Please explain in a couple sentences what happened to your Chromebook. *For example - If the screen broke, how did it happen?
*
Your answer
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