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Audit

Officer Information

Name of Officer

Badge Number

Contact Number

Take photo of any identification
Data Access

Description of data requested

Completion

I confirm that this data is required for the purposes of Crime Prevention and Detection and/or pursuit of a criminal offence.

Officer (Full Name and Signature)

Crime Reference Number (if relevant)

Data Released By (Full Name and Signature)
Authorized by (Full Name and Signature)

CCTV Data Access Release Form Checklist

Created by: SafetyCulture Staff | Industry: General | Downloads: 60

A CCTV data access release form must be completed by security teams in the event a law enforcement officer requests access to CCTV footage for the purposes of crime prevention and detection. Perform the following key steps when completing the form: Record a description of the footage being requests Capture all contact details and verification information of the officer making the request Take photo evidence of any identification Capture electronic signatures from the relevant officer and persons making the request

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Audit

Officer Information

Name of Officer

Badge Number

Contact Number

Take photo of any identification
Data Access

Description of data requested

Completion

I confirm that this data is required for the purposes of Crime Prevention and Detection and/or pursuit of a criminal offence.

Officer (Full Name and Signature)

Crime Reference Number (if relevant)

Data Released By (Full Name and Signature)
Authorized by (Full Name and Signature)