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Private Video Surveillance Registration Program

  1. Please enter the full name of the primary contact.
  2. Primary contact email address.
  3. What is the full address where the system is located?
  4. Residential or Business?*
    Please choose whether you are registering a residential or business camera system.
  5. If applicable
  6. How long is the video stored on your DVR? (Answer in days, we recommend 14 days)
  7. Do you have a live feed? *
  8. Area of Coverage*
    Please select all areas of coverage that apply.
  9. If you choose"Street, parking, or vehicle areas" area in previous question, please specify which streets, parking, or vehicle areas.
  10. Leave This Blank:

  11. This field is not part of the form submission.