MLTI Extra Device Reporting Form

Thank you for reporting the extra (unallocated) devices at your school. If you have several schools with extras, PLEASE COMPLETE THIS FORM FOR EACH SCHOOL.

We will use this information to help you connect with your closest Enrollment Pool location. We will also factor this in when the DOE calculates what will be billed to the school for device payments.

1. Please choose your school from the following list.

Please choose your school from the following list.

Other (please specify)

2. Your Name (First Last)

Your Name (First Last)

3. Your Email Address

Your Email Address

4. How many devices are you returning to the Enrollment Pool?

How many devices are you returning to the Enrollment Pool?

5. Which Enrollment Pool location do you prefer?

Which Enrollment Pool location do you prefer?