Camera Registry Form
Village of Franklinville Police Department
Name
*
First Name
Last Name
Business Name (if applicable)
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
*
example@example.com
Cell Phone Number
*
Home Phone Number
Business Phone Number
Is the camera video stored/saved?
*
Yes
No
Number of days video is stored until erased
Number of Outside Cameras
*
Please give any other information or concerns you feel is important for our officers to see when reviewing this request.
Submit
Should be Empty: