Partner Group ID / School or District Name
School Identifier Type
Please enter the school name (if part of a district).
Please indicate what items were affected and what happened to them. If multiple items were affected, click the "+ Add another item" button to add more entries.
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Please indicate if the damaged devices will be shipped individually or part of a bulk shipment.
*
Please Select
Individually
Bulk - 2-4 Devices
Bulk - 5 Devices
Bulk - 10 Devices
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Preferred email address for receiving claim communications (Administrator)
Be sure to use an email address which you will have access to for our team to reach you.
Phone number for receiving claim communications (Administrator)
Be sure to use a phone number our team will be able to reach you at.
Format: (000) 000-0000.
Administrator Name
First Name
Last Name
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Should be Empty: