Security Camera Registry Application

Security Camera Registry Application
Please answer the following questions to register your surveillance cameras with the Santa Maria Police Department.

1

Is your camera at a residence or a business?

 *

Is your camera at a residence or a business?

Residence

Business

2

Name of owner of residence or business:

Name of owner of residence or business:

3

Address where cameras are located:

 *

Address where cameras are located:

Address where cameras are located:

Apartment or Suite Number

4

Contact Information:

 *

Contact Information:

Phone (include area code):

Phone (evening):

Email Address:

5

How long will your surveillance system store a recording?

How long will your surveillance system store a recording?

less than one week

one to two weeks

two to four weeks

up to 60 days

up to 90 days

up to six months

up to one year

more than one year

unknown

6

How may we obtain a copy of video if needed? (check all that apply)

How may we obtain a copy of video if needed? (check all that apply)

USB (thumb drive, etc.)

CD/DVD

wireless/cloud

7

How many outdoor cameras are at this address?

How many outdoor cameras are at this address?

one to five

six to 10

10 or more

8

Is audio recorded?

Is audio recorded?

yes

no

9

Where do your cameras face? (check all that apply)

Where do your cameras face? (check all that apply)

Front

Side

Rear

Street / vehicles

10

When is the camera active?

When is the camera active?

motion

24 hours

scheduled hours

11

If this is a business, please provide emergency/after-hours contact information:

If this is a business, please provide emergency/after-hours contact information:

Name:

Phone number (include area code)

Email address

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

To prevent spam we utilize a verification code system. Please enter the code as it is shown in the box below:

 

Code:

100%