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2. Disclaimer & Terms of Use

   The goal of the Marlborough SafeCam program is to promote public safety in collaboration between the Marlborough Police Department and the citizens of Marlborough. All registrants agree to the following terms and conditions:

   1. Any video material collected by the Marlborough Police Department related to criminal investigations can be used as evidence during any stage of a criminal proceeding.
   2. Video material provided to the Marlborough Police Department is reserved for official use.
   3. When necessary, the Marlborough Police Department will contact you directly using the information you have provided to obtain video surveillance footage from your system.
   4. Under no circumstances shall registrants construe they are acting as an agent or employee of the City of Marlborough and/or the Police Department.
   5. You agree not to release any video or picture images to media without consulting the Marlborough Police Department.

   Submitting this form means you have read the Disclaimer and agree to the Terms of Use.

4. Street Address*
6. Business Name if Applicable
7. Applicant Name*
9. Applicant Phone Number*
10. Applicant Email Address*
12. Describe Camera location and field of view

    Ex: Corner of building overlooking parking lot

14. Recording period

    Ex: 9 am to 5 pm, 24/7, etc.

15. Video Retention Period

    How long do you plan on keeping the video?

17. Security Company contact if any
18. Infrared Video?

    1. Yes
    2. No
Leave This Blank:


20. 1. Receive an email copy of this form.
21. Email address

    This field is not part of the form submission.

22. Submit

* indicates a required field