2. ESTABLISHMENT DETAILS
4. Is your system located at a residence or commercial/business establishment?

   1. Residence
   2. Commercial/Business
6. Business Name
7. Business Type
9. Full Street Address*
11. City*
12. State*
13. Zip*
15. SECURITY CAMERA DETAILS
17. How many cameras at this location?
    -- Select One --12345678910+
18. Recording Period:
    -- Select One --24/7Business hoursMotion activatedOther (please describe in comments section at the end of the form)
20. Are your images saved and stored on a DVR or recording device?

    1. Yes
    2. No
21. How long is your data stored (i.e. 24 hours, one week, etc.)?
    14 days is recommended
23. Describe areas recorded (street view, front yard, etc.):
    Please be as detailed as possible.
25. CONTACT INFORMATION
27. Who is the primary contact for the cameras?*
28. Email:*
29. Phone Number:*
31. Who is the secondary contact for the cameras?
32. Email:
33. Phone Number:
35. Is the camera monitored by a security company?
    -- Select One --YesNo
36. If yes, what is their name and phone number?
38. In the event that the Police Department needs to access your recording to investigate a crime, would you allow access to the recording?*

    1. Yes
    2. No
40. Comments:
    Is there anything specific to your cameras that you would like us to know?
Leave This Blank:


42. 1. Receive an email copy of this form.
43. Email address

    This field is not part of the form submission.

44. Submit Submit and Print

* indicates a required field