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2. 
3. Citizens' View Security Camera Program
   The Belvedere Police Department would like to thank you for voluntarily providing your private security camera detail. Our goal is to make Belvedere an undesirable place for criminals to commit their crimes. This form can be submitted online, printed out and dropped off at the Police Department, or mailed to 450 San Rafael Avenue, Belvedere, CA 94920. If you prefer contact by phone, or in person, contact an officer at 415-435-3266.
7. ESTABLISHMENT DETAILS
9. Is your system located at a residence or commercial/business establishment?*

   1. Residence
   2. Commercial/Business
11. Business Name
12. Business Type
14. Full Street Address*
16. City*
17. State*
18. Zip*
22. SECURITY CAMERA DETAILS
24. How many cameras at location?
    -- Select One --12345678910+
25. Recording Period:
    -- Select One --24/7business hoursmotion activatedother (please describe in the comments section at the end of the form)
27. Are your images saved and stored on a DVR or recording device?*

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

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


52. 1. Receive an email copy of this form.
53. Email address

    This field is not part of the form submission.

54. Submit Submit and Print

* indicates a required field