Security Camera Registration

Use this form to voluntarily register your security camera system with the Middletown Police Department. By completing this form, you agree to allow access to the visual and/or audio recordings stored on your camera or recording device that may have recorded a crime in progress, a suspicious person or a person of interest who happened to be in the vicinity of your home or business.

Street Address*
Street Address City State

This is the camera's location address. Do not use a P.O. Box as an address.
Is this address:
- Residence
- Business
- Other
Camera Mode:
- Still
- Video
Your Information
Your Name*
Your Email*
Your Phone*
Your Address
Street Address City State ZIP Code
Comments
This field is for validation purposes and should be left unchanged.

Security Camera Registration

Your Information