Form Center

Step Two

Number of cameras at this location?*
Are the images saved and stored on the DVR or recording device?*
1. Yes
2. No
How long are the images saved for before being deleted?*
We recommend at least 14 days.
Please describe the camera(s) at this address that you have facing or observing public areas.
Please be specific (road / cross road, sidewalk, parking lot, etc...) i.e. the camera records the north parking lot as well as the sidewalk and the front of the building across the street.
Camera 1:
Camera 2:
Camera 3:
Camera 4:
Camera 5:
Camera 6:
Electronic Signature Agreement
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
1. I agree.
Electronic Signature*
Date*
Date

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