Security Camera Registration Form

Please fill out the following fields to register your camera with the Cornwall Police Service.

Please note this registry is only available to residents and businesses located within the City of Cornwall.

For any changes or questions about the registry, please contact the SCR Administrator here.

Disclaimer:

I acknowledge that by selecting "Yes" in response to this page, the Cornwall Police Service will collect information that can identify me and/or the business I am registering with the Cornwall Police Service Security Camera Registry (the "Registry"). Such identifying information includes personal and/or business contact information (name, address, phone number and email) and information about surveillance camera(s) in my possession/control.

I acknowledge that the information provided to Cornwall Police Service via the Registry is being voluntarily submitted pursuant to section 29(1) of the Municipal Freedom of Information and Protection of Privacy Act R.S.O. 1990 c. M. 56 ("MFIPPA"). I acknowledge that the information submitted via the Registry and collected by Cornwall Police Service will be used by police for law enforcement purposes, such as to contact me for my assistance to access any recordings made by registered surveillance camera(s) that may assist police investigate criminal activity in my area / neighborhood. I acknowledge that Cornwall Police Service may also use the information provided by me via the Registry collected to send me e-mail correspondence with crime prevention tips and crime statistical information for awareness and informational purposes.

I acknowledge that I am the Registrant, that I have the authority to provide information to Cornwall Police Service via the Registry and that I have possession/control of any surveillance camera(s) that I register. I acknowledge that it is my responsibility to ensure that the information submitted is current and valid and that Cornwall Police Service is notified of any changes via the Registry. I acknowledge that the retention, as well as any other use or disclosure of personal and/or business information will be governed by the requirements of the MFIPPA and Cornwall Police Service's retention schedule. I acknowledge that I may contact cpsmedia@cornwallpolice.com should I have any questions with respect collection of information via the Registry.

I hereby consent to the collection, use, retention and disclosure of the personal and/or business information provided to Cornwall Police Service via the Security Camera Registry.

In consideration of Cornwall Police Service's compliance with the collection, use, retention and disclosure of personal and/or business information and surveillance camera(s) information as set out above, I hereby release, waive and forever discharge Cornwall Police Service, the Chief of Cornwall Police Service and the Cornwall Police Services Board from all claims, damages, and causes of action, of any nature or kind whatsoever arising from the collection, use, retention and disclosure of information provided by me to Cornwall Police Service via the Registry.

By volunteering to participate in the Security Camera Registry, you will assist Cornwall Police Service in making a difference in your community. Thank you.

First Name (Required)

Last Name (Required)

Email (Required)

Confirm Email (Required)

Phone (Required)

Alternative Phone Number (Optional)

Business Name (if applicable) (Optional)

Are the registered camera(s) in a business or residential location? (Required)

Street Address Civic Number (Required)

Apt/Unit Number (Optional)

Street Name (Required)

Street Type (Required)

Direction (Optional)

City (Required)

Province (Required)

Postal Code (Required)

Is your video surveillance inside or outside? (Required)

If you have an exterior camera, please describe what it captures. (Example: The camera faces Brookdale Avenue. My front porch, driveway are in view, as well as approx. 2 households across the street.) (Required)

How long are your images stored on your camera? (Required)

I have read the disclaimer above and agree to the qualifiers and legal disclaimer. (Required)

I have read and agree to the above qualifiers and legal disclaimer

Would you like to receive other communications from the Cornwall Police Service, such as Crime Prevention Tips, notice of upcoming events, or other relevant public safety information? (Optional)

Yes

Processing...