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.

"*" indicates required fields

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

Phone

This field is for validation purposes and should be left unchanged.