For the Chromebook Loaner Agreement form ONLY, click here. Please fill out the form below to submit a repair/service request for your Chromebook.Date* MM slash DD slash YYYY HiddenStudent ID Class Of:* Chromebook Control # or Serial #* Student's Email* @myhchs.orgStudent Email Parent Email I am requesting the repair of my school assigned chromebook. The chromebook needs repair because:*STUDENT MUST provide a detailed description, including when, how, and all else applicable. Please specify all physical damage or software issues in detail. PLEASE BE AWARE THAT IF A DETAILED DESCRIPTION IS NOT PROVIDED, THIS WILL DELAY YOUR REQUEST. Loaner Chromebook PolicyYou are submitting a repair request for your school assigned chromebook. If inventory allows, a loaner will be provided to you as we initiate and process a claim. Signing this form acknowledges your understanding that the loaner, when provided, must be maintained in a like-new condition, to avoid a charge of up to $400. The loaner must be returned when the original repaired chromebook is received by the student. Please refer to the Chromebook Usage Policy Agreement regarding proper care for the device. Loaner Chromebook Policy Agreement*Check "I Agree" to agree to the policy stated above. I Agree Student Name* First Last Student Signature*Parent Name* First Last Parent Signature*HiddenSTATUS open completed Hiddenutm_source Hiddenutm_medium Hiddenutm_campaign Hiddenutm_term Hiddenutm_content EmailThis field is for validation purposes and should be left unchanged.