Personal Device Drop-Off Form
Please complete this form, and print a copy using the button at the bottom of the page for check-in at the drop-off location.
Please select your drop-off and pick-up location.
*
University Book Store - 711 State
Health Sciences Learning Center - 750 Highland
DoIT - 1210 West Dayton Street
Name
*
First Name
Last Name
E-mail
*
Phone Number
*
-
Area Code
Phone Number
Device Type
*
Mac
iPhone
iPad
Device Serial Number
*
Repair Number
*
Enter "none" if no DoIT repair exists
Please describe your issue.
*
Has the "Find My" device location service been disabled on this device?
*
Yes, we can proceed with repair.
No, contact me to assist in disabling this service
No, the device does not power on.
Upload additional files or Screenshots
Browse Files
Cancel
of
Emergency Service
*
Yes - $199 - Includes pickup of impacted equipment and priority diagnosis within 4 hours
No
Shipping Options
*
Flat Rate Shipping - $44.95 - Graphite sends a shipping box with prepaid return label for impacted equipment to be sent to Graphite. Return shipping is not included in this charge
I will ship my device to Graphite at my own expense
No shipping is necessary
Is critical data currently stored on the device?
*
Yes, Graphite should contact me regarding a $99 backup prior to repair.
Yes, I will back up my data. Graphite is not liable for data loss.
No. The device may be erased if necessary.
Please print this form before clicking Submit
Bring your printed form along with you to the drop-off location.
Submit Form
Print Form
Should be Empty:
Now create your own Jotform - It's free!
Create your own Jotform