ASD – File Portal
1-1 Repair Form
Oct-2020
Email
Fixed Asset Number
Serial Number
Location
ACHS
ACMS
ACES
BHS
BES
KHS
KMS
KES
ACTC
District
Previous Owner
Date Received By Technology Department
Device Type
MacBook Air
MacBook Pro
iPad 6th Generation
iPad 7th Generation
iPad 8th Generation
Chromebook
Windows
Keyboard Case
Issue
Broken Screen
Needs Wiped
Liquid Damage
Keyboard Issue
Battery Issue
Issue Covered Under Warranty
Other (Explain In Notes)
Support Contacted
No
Yes
Support Claim Date
Vendor
Apple
Worth Ave Group
AppleCare Case Number
Repair IDs Associated with AppleCare Case
Repair ID
Cost
Worth Ave Group Claim Number
Other Support Claim Notes
Purchasing
Processed Requisition
Yes
No
Purchase Order Number
PO Sent to Apple
No
Yes
Send for Repair
Checklist for Repair
( ) Saved Any Data
( ) Removed Firmware Password
( ) Unassigned Device in ASM
Return
Returned Device Serial Number
Device Return Date
This iframe contains the logic required to handle Ajax powered Gravity Forms.