Damaged Device Form

  • If a student has damaged a device, and / or replacement is needed, please fill out the form below to begin the replacement process.
  • Six digits, found under barcode on the white Questar III sticker, usually on the rear of the device.
    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.
  • MM slash DD slash YYYY
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