Damaged Device Form | Questar III BOCES

If a student has damaged a device, and / or replacement is needed, please fill out the form below to begin the replacement process.

Name*

Email*

Work Location*

Phone Number*

Device Type*

Inventory Tag*

Six digits, found under barcode on the white Questar III sticker, usually on the rear of the device.

Description Of Request*

Was the damage intentional?*

Replacement Needed?*

Note: If device was replaced with one from your own location's stock, please note the asset tag of the replacement device in the "other" field.

Date*