Camera Registry Form

Please complete this form to register your security cameras with the Culpeper Police Department.

DISCLAIMER & TERMS OF USE

The goal of the cameras registry program is to deter crime and promote public safety through collaboration between the Culpeper Police Department and the community we serve. Accordingly, all camera registrants agree to the following terms and conditions:

Any footage containing to/or related to criminal activity may be collected for use by Culpeper Police Department as evidence during any stage of a criminal proceeding.
Relevant information is reserved for official use by the Culpeper Police Department and will not be released to any member of the general public or press.
If necessary, the Culpeper Police Department will contact you directly using the information provided on this site to request the appropriate video surveillance footage.
Under no circumstances shall registrants construe that they are acting as an agent/or employee of the Culpeper Police Department through the camera registry program.
Under no circumstances shall the Culpeper Police Department utilize any information obtained to view footage/feeds directly from cameras owned by registrants.

Camera Registration Type *

Individual (as a person)

Business (for a company)

Select "individual" if you are registering a personal camera, or select "business" if you are registering a camera for a company.

Reporting Person

First Name *

Last Name *

E-mail Address *

Phone Number *

Address

Street Address *

Apartment / Suite Number

City *

State *

Zip Code *

Camera Location

Copy Address from Above Get Address from Map Marker

Company

Street Address *

Apartment / Suite Number

City *

State *

Zip Code *

Map Marker

Use Camera Location Address Use My Current Location

Hint, click the map to add or drag a GPS Marker. Zoom in for a better view.

Camera Summary

Enter any additional helpful information about the camera's capabilities or setup.

Notes

Attachments

Attach any files (jpg, jpeg, png, txt, pdf, avi, mov, mp4, mp3, wav) that may be useful with the registration of the camera.

Leave this field blank