register your video surveillance system
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Name:

Address:

Address Line 2:

City or Town:

State or Province:

Zip or Postal Code:

Phone:

Email:


Do you have a private video surveillance system?*
Yes    No 

Is your system located at a residence or commercial/business establishment?*
Residential    Business 

How many cameras do you have?*


Are your images saved and stored on a DVR, cloud or recording device?*


Do you have live feed capabilities?*
Yes   No 

What areas do the cameras cover? (Interior, Exterior, Front Yard, Backyard, Street, etc.) The more specific the better.*


Electronic Signature Agreement*
By checking the "I agree" box below, you agree and acknowledge that you are registering your video surveillance system with the Washington Twp. Police Department.
 I Agree