Schadeformulier International School Utrecht student data First name* Last name* Class* Student numberr* E-mail* E-mail parents* Phone number* Phone number Parents* Device* Make your choiseTablet/iPadLaptop Brand and type of device* Serial number* Damage / Theft* Make your choiseDamageTheft Date of damage / Theft* Reported to police?* Make your choiseYesNo Declaration number and place Where and how was the equipment stored* Descripe exactly what has happend* What damage does your device have?* Location where damage occurred* Time when the damage occurred* Was the protective cover used?* Make your choiseYesNo Unlock code for your device* Return address + house number Return Address Zip Code Return address City By pressing ‘send’ you indicate that the form has been completed truthfully by the parents of the pupil. In case of fraud, a report will be made to the police.