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Escalon USD Chromebook Insurance Opt-in/Out Form - 2023/24 School Year

Escalon Unified School District has contracted with Securranty to underwrite insurance for your child's take-home Chromebook. The policy provides comprehensive coverage and zero deductible, to include:

- Extended Warranty: Mechanical Breakdown

- Accidental Damage: Cracked Screens, Spills, Liquid Submersion, Accidental Drops

- Theft (Police Report required) & Standard Perils: Flood, Fire, Natural Disaster, Vandalism, Power Surge

- Loaner Devices are provided until repair or replacement is processed (loaner devices are not insured by Escalon USD and carry personal liability).

Please complete this form for EACH CHILD (grade 3 and above) enrolled in Escalon Unified School District. 

Submission of this form confirms acceptance of all clauses indicated in the form and measures found in the District Mobile Device Handbook.

Verification of a completed form is REQUIRED at the beginning of the school year before a district Chromebook can be issued to a student.

School Attending for 2023/24 School Year:*
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Grade Level for 2023/24 School Year:*
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Device Coverage Selection:*
Secure online payment can be made here via credit or debit card
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Confirmation Email