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2. Business/Individual Name*
3. Business/Residence Phone No.*
5. Registration Type

   1. Business

   1. Residence
7. Street Number*
8. Street Name*
9. Street Type
10. Apt #
12. City*
13. State
14. Zip
16. Contact Person*
17. 24hr phone no.*
18. Alternate Contact Person
19. Alt. Contact 24hr phone #
21. Contact person email
22. Does someone on-site know how to work the system?

    1. Yes

    1. No
24. Camera system manufacturer & model
25. Number of cameras
27. Recording time period

    1. 24/7

    1. Business hours

    1. Motion
28. Estimated retention period
    How long do your cameras record before overwriting?
30. Describe the area (or areas) your cameras record
32. To obtain camera footage, Officers would need to:

    1. Simply ask

    1. Provide a letter of request

    1. Provide a court document (subpoena or search warrant)
34. Additional information about your camera system
36. DISCLAIMER AND TERMS OF USE
    The goal of the camera registry program is to deter crime and promote public safety through collaboration between the Silver Spring Township Police Department and the community we serve. Accordingly, all camera registrants agree to the following terms and conditions:
38. 1. Any footage containing or related to criminal activity may be collected by the Silver Spring Township Police Department for use as evidence during any stage of a criminal proceeding.
40. 2. Relevant information is reserved for official use by the Silver Spring Township Police Department and will not be released to any member of the general public or press.
42. 3. If necessary, the Silver Spring Township Police Department will contact you directly, using the information provided on this site, to request the appropriate video surveillance footage.
44. 4. Under no circumstances shall registrants construe that they are acting as an agent and or employee of the Township of Silver Spring and/or the Silver Spring Township Police Department through the camera registry program.
46. 5. Silver Spring Township Police Department will not utilize any information obtained to view footage or feeds directly without permission of the owner.
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48. 1. Receive an email copy of this form.
49. Email address

    This field is not part of the form submission.

50. Submit

* indicates a required field