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Video Camera Registration Form, Madison Police Department

  1. Madison Connecticut Police Department
    9 Campus Drive, Madison, CT 06443 (203) 245-2721
  2. Property Information
  3. Type of Property
    Check the boxes that apply
  4. Contact Information
  5. Person 1
  6. Person 1
  7. Person 1
  8. Person 1
  9. Person 2
  10. Person 2
  11. Person 2
  12. Person 2
  13. Are you part of a neighborhood/business watch program?
  14. System Information
  15. File Format:
  16. Windows Media Player Compliant?
  17. Sketch building entrances, exits, parking lots, and appropriate camera fields of view or other comments. Note: Orientate north to the top of the sketch.
  18. Contact (203) 245-2721
    Contact the Madison Police Department for additional information.
  19. Leave This Blank:

  20. This field is not part of the form submission.