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2. 
3. Department of Public Safety – Police Division

   COMMUNITY ENGAGEMENT AND RESOLUTION TEAM

5. By registering your private security camera with the department, PDPS may contact you and request access to the camera to view footage that may have been captured related to an incident or disturbance in your neighborhood. You may deny any request to view your camera or footage.
7. REGISTRATION INFORMATION
9. Name*
10. Phone Number*
12. Address*
13. City*
14. Zip Code*
16. Address Type*
    -- Select One --Single ResidenceMultiple DwellingBusinessOther
20. CAMERA INFORMATION
22. Number of Cameras*
23. Camera View Description*

    1. Street
    2. Driveway
    3. Parking Lot
    4. Yard
    5. Interior
    6. Other
24. Retention Length*
28. EMERGENCY CONTACT FOR IMMEDATE CAMERA ACCESS
30. Name*
31. Phone Number*
35. Is there any additional information you would like to share about your security camera(s)?
Leave This Blank:


38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit

* indicates a required field