Help Desk Chromebook Repair Ticket

Help Desk Chromebook Repair Ticket
Your Email
example@example.com
Your Email (select from list)
School Name
Staff/Student Full Name
Student Grade
CHECK WHO BOUGHT INSURANCE HERE (Grades 4-12 only)

Worth Ave Group Flyer - ENG

Worth Ave Group Flyer - SPA
Does the Student Have Insurance?
Is the damage Accidental or Mechanical?
Insurance Company Wants to Know How the Accidental Damage Happened (Be as descriptive as possible)
Damaged Chromebook Brand/Model
Damaged Chromebook Serial Number
Problem(s) With Chromebook
Description of Chromebook Issue
Take Photo of Damage 1 (must have a web cam)
Take Photo of Damage 2 (must have a web cam)
Upload Pictures Here

Cancelof
Replacement device is
Replacement Device Brand/Model
Replacement Device Serial #
Replacement Device Issued On:

MonthDayYear
Date
Should be Empty: