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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Title Page
Client
Conducted on (Date and Time)
Prepared by
Address
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)
Jackson Kaniki
CCTV Data Access Release Form
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
The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions.
The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice.
You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction.
You should independently determine whether the template is suitable for your circumstances.