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2. 
3. Virtual Block Watch
   Virtual Block Watch is one of the Prescott Valley Police Department's contemporary crime prevention and investigation tools. It demonstrates the effectiveness of partnerships between police and the community. Registering your camera helps deter crime. It helps the Department in its overall crime prevention strategy in your neighborhood. Protect yourself, your family and your community by registering with Virtual Block Watch.
5. Register your camera today
   To register your CCTV with the Prescott Valley Police Department, please complete and submit this form. Prescott Valley Police Department personnel will contact you to process the registration. So that we can best respond to your message, please complete as much of the form as possible.
7. Is this for Residential or Business?

   1. Residential
   2. Business
8. Name of Business
10. Contact Information
12. First Name*
14. Last Name*
16. Address Number of CCTV location*
18. City
20. State
22. ZIP*
24. Phone Number*
26. E-mail*
28. Camera Information
30. Video Retention Time (in days)*
32. Number of Cameras (up to 16 total)*
34. Camera 1, Location and Description of View*
    Example: Northwest corner of house, facing Lakeshore
36. Camera 1, Photo Upload Showing Camera View*
38. Camera 2, Location and Description of View*
40. Camera 2, Photo Upload Showing Camera View*
42. Camera 3, Location and Description of View
44. Camera 3, Photo Upload Showing Camera View
46. Camera 4, Location and Description of View
48. Camera 4, Photo Upload Showing Camera View
50. Camera 5, Location and Description of View
52. Camera 5, Photo Upload Showing Camera View
54. Camera 6, Location and Description of View
56. Camera 6, Photo Upload Showing Camera View
58. Camera 7, Location and Description of View
60. Camera 7, Photo Upload Showing Camera View
62. Camera 8, Location and Description of View
64. Camera 8, Photo Upload Showing Camera View
66. Camera 9, Location and Description of View
68. Camera 9, Photo Upload Showing Camera View
70. Camera 10, Location and Description of View
72. Camera 10, Photo Upload Showing Camera View
74. Camera 11, Location and Description of View
76. Camera 11, Photo Upload Showing Camera View
78. Camera 12, Location and Description of View
80. Camera 12, Photo Upload Showing Camera View
82. Camera 13, Location and Description of View
84. Camera 13, Photo Upload Showing Camera View
86. Camera 14, Location and Description of View
88. Camera 14, Photo Upload Showing Camera View
90. Camera 15, Location and Description of View
92. Camera 15, Photo Upload Showing Camera View
94. Camera 16, Location and Description of View
96. Camera 16, Photo Upload Showing Camera View
98. Additional Information (include best time to contact)*
100. Before you submit this e-mail form, we would like you to be aware of the city's policy on the use of its e-mail systems. The policy states that the e-mail message you are about to send: (1) is subject to public records disclosure under the Public Records Law, (2) is not private or confidential and (3) is retained for 90 days.
Leave This Blank:


102. 1. Receive an email copy of this form.
103. Email address

     This field is not part of the form submission.

104. Submit

* indicates a required field