Request for Surveillance Video
Your Name
*
First Name
Last Name
Your Email
*
example@example.com
Which location did this incident occur at?
*
Please Select
Martin City
Overland Park
Freight House
Plaza
Lee's Summit
Lenexa
Fiorella's
JBQ
Team Support
Date and Time
Provide the shortest time frame that captures the incident that occurred.
I have reviewed the video and narrowed down the time frame to exactly when the event occurred. Video footage is very large and we can only export a few minutes of video. Longer video requests will be denied unless there is substantial reasoning
*
Yes, I have reviewed the video and narrowed down the time frame to as short as possible
Start Date and Time
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
End Date and Time
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Camera(s)
Which camera(s) do we need to export video from?
Camera 1
*
Camera 2
Camera 3
Camera 4
Description of the Incident
Description of the incident, suspects, vehicle description, etc. Anything helpful for verifying that we found the correct video to export.
*
Have the police requested this video?
*
Yes
No
Officer Name
*
First Name
Last Name
Office Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Officer Email
*
example@example.com
Submit
Should be Empty: