Arlington PD Community Site Addition Form

Arlington PD

Community Site Addition Form

Business Name*

Business Point of Contact - First Name*

Business Point of Contact - Last Name*

Business Point of Contact - Email*

Business Point of Contact - Phone Number*

Phone

IT Point of Contact - First Name

IT Point of Contact - Last Name

IT Point of Contact - Email

IT Point of Contact - Phone Number

Phone

Preferred Language

Street Address*

City*

State/Region*

Postal Code*

Does the Location Have Internet?*

Select or enter value

Does the Location Have an Existing Camera System?*

Select or enter value

If "Yes", please specify the make and model.*

DVR | NVR Photos?

Drag and drop files here or

Access to the Existing Camera System Credentials?

Select or enter value

If "Yes", please provide username

If "Yes", please provide password

Number of Internal Camera Feeds?

Number of External Camera Feeds?

Availability

Select or enter value

Additional Notes

Send me a copy of my responses

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