BVASD STUDENT DEVICE INSURANCE FORMS:

INSURANCE COST BASED ON SCHOOL LUNCH STATUS (FREE, REDUCED, PAID)

MANDATORY FORM TO RECEIVE A DEVICE (INITIAL INSURANCE OPTION)

2021-2022 1 to 1 Signature Form(iPad/Chromebook)

-ALL STUDENTS MUST COMPLETE/SIGN THIS FORM IN ORDER TO RECEIVE A DEVICE-

INSURANCE IS OPTIONAL - FORM MUST BE COMPLETED REGARDLESS OF INSURANCE OPT-IN or OPT-OUT

MANDATORY FROM FOR FIRST DEVICE REPLACEMENT (2nd INSURANCE OPTION)

2021-2022 1 to 1 Signature Form(iPad/Chromebook) 1ST RE-ISSUE

MANDATORY FORM FOR ADDITIONAL DEVICE REPLACEMENTS (NO INSURANCE AVAILABLE ONCE REDEEMED 2 TIMES)

2021-2022 1 to 1 Signature Form(iPad/Chromebook) NO INSURANCE RE-ISSUE