Form Center

2. Registration Form

   Please complete the following information to register your security camera system with the University Park Police Department.

4. Is this registration for Individual Residence or Business?

   1. Individual Residence
   2. Business
6. First Name*
7. Last Name*
9. Business Name (if applicable)
10. Name of Responsible Party (if Business)
12. Address where camera is located*
14. Nearest cross street
16. City
17. State
18. Zip Code
20. Best Contact Number
21. Secondary Phone Number
23. Email Address*
27. Do you have a doorbell camera?

    1. Yes
    2. No
29. Total number of cameras at the location
    -- Select One --123456+
31. How long will your surveillance system store a recording?
    -- Select One --Less than one weekUp to 30 daysUp to 60 daysUp to 1 yearMore than a year
33. How are your videos stored?
    -- Select One --DVR/Hard driveTapeCloud/Web
35. Please provide a general description of how video can be copied.
    -- Select One --USB deviceCD/DVDCloud/WebOther
37. What are your camera specifications?

    1. HD/High definition
    2. SD/Standard definition
    3. Infrared
    4. Low light
    5. Other
39. What view(s) do your cameras capture? (Residential)

    1. Front yard
    2. Back yard
    3. Side yard
    4. Alley
    5. Street and vehicles
41. What view(s) do your cameras capture? (Business)

    1. Front entry
    2. Rear of business
    3. Sides of business
    4. Parking areas
    5. Street(s) adjacent to business
43. Other helpful information (optional)

45. The information provided will be for official use only. Your personal information will remain confidential and not distributed except as required by law or court order.

Leave This Blank:


47. 1. Receive an email copy of this form.
48. Email address

    This field is not part of the form submission.

49. Submit

* indicates a required field