SafeCity Connect Camera Program Video Footage Request Form

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SafeCity Connect Camera Program Video Footage Request Form

This form is to be completed by the investigating officer involved with the ongoing documented criminal investigation of this request. Please note that the footage you receive is encrypted (unable to copy or share). You will be notified via email when your request is ready for viewing/pick up.

Please email video.request@safecityconnect.com if we can answer any questions or assist any further.

Email *

Contact Information

Requesting Agency
*

First Name
*

Last Name *

Email
*

Cell Phone
*

Please enter your phone number including area code, numbers only.

Incident Information

Date Incident Occurred
*

YYYY

Time Frame
*

Address (where incident took place) *

The location of the incident (specific address, intersection, etc.)

Case Number *

Detailed Description
*

Send me a copy of my responses.

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