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2. Community Video Partner
   The Madison Police Department is committed to utilizing every resource to prevent and solve crimes and to protect citizens and their property. Many residents and businesses are now utilizing surveillance cameras and these cameras may capture persons and events without the owner’s knowledge and this captured information may help the police department solve crimes and help keep the Rose City safe.
4. 
5. Please help us keep our Communmity Safe
   The Madison Police Department is asking residents and businesses around the Borough to register their privately-owned surveillance camera systems. As our officers respond to reports of criminal activity in our community, they may be able to use the information or footage captured on these security cameras to assist in the apprehension and prosecution of the criminals involved.
7. Register your Camera
   By registering your camera system with the Madison Police Department, officers and detectives will be able to identify what cameras may have captured criminal activity. You would only be contacted by the Madison Police Department if there is an incident within the vicinity of your camera system and officers or detectives may request to view the footage in order to assist in the investigation.

9. Questions can be directed to Det/Sgt. Shannon at 973-593-3004 or ShannonK@rosenet.org.

13. Resident / Business Name:*
15. Street No.:*
16. Street Name*
    -- Select One --Academy RoadAlbright CircleAlexander AvenueAlma AvenueAmelia CourtAnthony DriveArdsleigh DriveArlena CourtAshland RoadAvery CourtAvon DriveBaker AvenueBardon StreetBarnsdale RoadBaumgartner CourtBedford CourtBeech AvenueBelleau AvenueBelmont AvenueBeverly RoadBrannick CourtBrittin StreetBroadview AvenueBroadwayBrooklake RoadBruns StreetBuckingham DriveBurnet RoadButtenheim TerraceCambridge CourtCandlewood DriveCanterbury RoadCarrigan LaneCarteret CourtCedar AvenueCeder StreetCentral AvenueCentre StreetChapel StreetChatheau Thierry AvenueChelsea CourtChristina CourtClub CourtColonial WayCommunity PlaceCondurso WayCook AvenueCopper BeachCottage PlaceCoursen WayCourt PlaceCrescent RoadCrestview AvenueCrestwood DriveCross StreetCrossgates RoadDanforth RoadDean StreetDehart PlaceDelbarton DriveDellwood DriveDellwood ParkwayDerby CourtDivision AvenueDodge DriveDogwood DriveDouglas AvenueDrew PlaceDrew UniversityDurwood PlaceDwyer StreetEast CommonEast LaneEast Madison AvenueEast StreetEdgewood RoadElm StreetElmer StreetEssex PlaceEsti CourtFairfax CourtFairview AvenueFairwood RoadFen CourtFerndale RoadFletcher PlaceFloyd StreetForest RoadFoxchase RoadGarfield AvenueGibbons PlaceGiralda FarmsGlendale RoadGlenwild RoadGreen AvenueGreen Hill RoadGreen Village RoadGreenwich CourtGreenwood AvenueGrove StreetHamilton StreetHarwood DriveHempstead CourtHighland AvenueHighview TerraceHillcrest DriveHillside AvenueHillview AvenueHolden LaneHoward StreetHowell StreetHoyt StreetHunter DriveIndependence CourtJames PlaceJohn AvenueJohn Marshall LaneKeep StreetKensington RoadKings RoadKingston CourtKinney StreetKitchell RoadKlara CourtKnollwood AvenueLathrop AvenueLaurel WayLawrence RoadLee AvenueLeeds CourtLeigh DriveLewis DriveLincoln PlaceLinden DriveLoantaka TerraceLoantaka WayLocust StreetLongview AvenueLorraine RoadLoveland StreetLynwood PlaceMadison AvenueMadison CommonsMagnolia CourtMain StreetMaple AvenueMayfield CourtMidwood TerraceMorris PlaceMyrtle AvenueNiles AvenueNoe AvenueNordling LaneNorman CircleNorth Oak CourtNorth StreetNorwich CourtOak CourtOlde Greenhouse LaneOrchard StreetOverhill DriveOxford CourtOxford LanePage StreetPark AvenuePark LaneParkside AvenuePeach Tree LanePine AvenuePine Tree TerracePlain StreetPlymouth CourtPomeroy RoadProspect StreetRachel AvenueRedmond DriveRidgedale AvenueRolling Hill CourtRoscoe AvenueRose AvenueRosedale AvenueRosemont AvenueRosewood DriveRoss CourtSamson AvenueSayre CourtSeaman StreetSerpico WaySeven Oaks CircleShady Lawn DriveShepherd LaneSherwood AvenueShunpike RoadSinclair TerraceSouth Oak CourtSouth StreetSpring Garden DriveStafford DriveStation DriveStonegate RoadStonehedge LaneStrickland PlaceSunset PlaceSurrey LaneToothe PlaceTracy LaneTrail PlaceTreadwell AvenueTroy CourtTwombly LaneUnion AvenueUnion Hill RoadValevue RoadValley RoadVillage RoadVinal PlaceVinton RoadWalnut StreetWashington DriveWaverly PlaceWayne BoulevardWest Common DriveWest End AvenueWest LaneWest StreetWesterly AvenueWilmer StreetWilson LaneWinding WayWindsor PlaceWisteria CourtWoodcliff DriveWoodland RoadWoodside RoadWyndehurst Drive
18. Security Camera Details:
20. Type of System:*

    1. Residential
    2. Commercial
    3. Ring Door Bell
21. Number of Cameras:*

    1. 1
    2. 2
    3. 3
    4. 4
    5. 5
    6. 6
    7. More than 6
22. Recording Period:*

    1. All the Time
    2. Motion
    3. Business Hours
23. Length data stored?*

    1. Less than 24 Hours
    2. 24 Hours
    3. 48 Hours
    4. 72 Hours
    5. 8-30 Days
    6. 1 Month
    7. Longer than 30 Days
25. Location of Survelliance:

    1. Exterior to the Front
    2. Exterior to the Rear
    3. Exterior to the Left*

    1. Exterior to the Right*
    2. Interior

    1. Driveway
    2. Street/Roadway
27. *Exterior to the left is when face your front door, the left side of your residence. Exterior to the right is when you face your front door, the right side of your residence.
29. Contact Information:
31. Primary Contact for Camera:*
32. Contact Email:*
34. Phone Number:*
36. Comments:
Leave This Blank:


38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit

* indicates a required field