Oakwood Public Safety Department - Security Camera Registration

Homeowner/Business Name:

Location of Residents/Business:

Type of Business (ex: Bank, Retail Sales, School, etc.):

Contact Phone Number:

Camera Locations:

Cameras Remotely Viewable: Yes No Total Number of Cameras:

If yes, do you give the Oakwood Public Safety Department permission to remotely view cameras for criminal justice purposes?

Yes No IP Address of Cameras:

Do you give the Oakwood Public Safety Department permission to contact you to view your video for criminal justice purposes? Yes No

If yes, do you want an Oakwood Public Safety Department officer to come directly to your home, or contact you by phone?

Contact Directly Contact by Phone only Either, I just want to help:

Do you give the Oakwood Public Safety Department permission make a copy of the video stored on the surveillance system? Yes No

Name (Print):

Signature:

By signing above, you authorize the Oakwood Public Safety Department to access your video data to pin map surveillance camera locations throughout the city of Oakwood. The Oakwood Public Safety Department will enter this information into our database, which will enable officers to gather possible vital evidence more efficiently to solve crimes in the Oakwood area. The Oakwood Public Safety Department will not remotely monitor surveillance video. If you agree to give the Oakwood Public Safety Department permission to remotely view your surveillance cameras, the information will be strictly used for gathering evidence in reported crimes, or crimes in progress. Thank you for being party of the solution in making Oakwood a better city for all of us!