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NYCDOE Remote Learning Device Request Form

Remote Learning Device Request

As of January 12, 2021, Device Request submissions are to be fulfilled by Staff on behalf of families. If you are a parent/guardian of a student in need of a device, please fill out the form below.

Please note, if you are currently in possession of a School Issued or DoE Issued device, this is not the form for you. Please submit a repair request to NYCDOE DIIT Help Desk or BGHS Help Desk to have a technician troubleshoot the device or visit NYCDOE Returns for information on returning a device. If you are listed as in possession of a device you no longer are in possession of, please inform the NYCDOE DIIT Help Desk or call 718-935-5100. After selecting the appropriate language, press 5 For Remote Learning Support.

During remote and blended learning, schools are working with families to determine their device and connectivity needs to maximize student participation and match devices in their inventory to meet student needs. The DOE continues to lend internet-enabled iPads and hotspots to students and will fill requests for devices that come from schools on behalf of families.

We implore you to review and understand the Student Device Agreement.

Devices will be distributed to the school and you will be contacted with information on how to retrieve the device.

Please complete the form below. Required fields marked with an asterisk *

Parent/Guardian Information

Relationship to Student*
Answer Required
Does the student have access to a computer?*
Answer Required
Does the student have internet access?*
Answer Required

Device Selection

Device Type Preference*
Please select a Device Type (this does not guarantee the device choice)
Answer Required

Student Information

Grade Level*
Answer Required
Does the student live in a shelter?*
Answer Required
Does the student’s family live with another family or other person because of loss of housing or as a result of economic hardship?*
Answer Required
Is the student currently in foster care?*
Answer Required
Does the student live in NYCHA housing?*
Answer Required