Oelwein Schools Technology Repair Order
Customer Name:
*
First Name
Last Name
Building
*
High School
Middle School
Wings Park
LHLC
Oelwein Academy
Central Office Parkside
Other
RO #
*
Date
-
Month
-
Day
Year
Date Picker Icon
Device
Serial #
Tech Name
*
Customer Position
Staff
Student
Other
Accessories with Device:
Charger
Bag
Other
Issue/Notes
*
Technician Signature:____________________________ Date:______________
Submit
Print Form
Should be Empty: