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Student Laptop Damage Form

Student Laptop Damage/Issue Form

Please complete this form when your student laptop is damaged.

Student's Name:*

Answer Required

Type of damage/issue?*

Answer Required

Broken Screen

Broken Carrying Case

Keyboard Won't Work

Mouse Pad Won't Work

Charging Cable Issue

Won't Charge

Won't Connect to the Internet

Other:

Description of the damage/issue:*

Please type a brief description of the damage.

Answer Required

Description of how the damage/issue occurred:*

Please type a brief description of how the damage occurred. Include where, when, and how it was damaged.

Answer Required

Please complete the form below. Required fields marked with an asterisk *

Confirmation Email

Email Required