Rio Rancho Public Schools

Chromebook Insurance

Please use this form to sign up for Chromebook Insurance for any RRPS Chromebooks. This insurance covers everything except power cords.

Instructions on how to pay for insurance will be sent with your confirmation email.

*At this time we are only able to accept credit & debit card payments.

Student ID# *

Student's First Name *

Student's Last Name *

Student's School * 🛈

form admin
only - test

y

n

Parent/Guardian Name *

Parent/Guardian Email *

Select the Chromebook model for your insurance purchase. (located on the back of the Chromebook)

Serial number (back of Chromebook- S/N)

Rio Rancho Public Schools Asset Tag # (6 digits)

Yes, I would like to sign up for Chromebook Insurance. Chromebook coverage=August 1, 2024-July 31, 2025 *

$20- Insurance for RRPS Chromebook (s) (all models)

RRPS Online Payment Portal

The bank charges a nominal convenience fee per transaction, the exact amount is shown before the payment is finalized.

Online Payment Instructions: Click the Submit Button below

1. Click Pay without Registering (or Register for future payments)

2. Enter Student Number

3. Select: Chromebook Insurance from Program drop-down.

4. Select school from School drop-down

5. Enter Student Name

6. Enter any Other details on Other Information field.

Then complete payment information.