Forms • Village of Itasca • CivicEngage

The Itasca Police Department has implemented a new, voluntary program and would like to partner with residents or businesses that have surveillance cameras and would like to help. Officers can spend a great deal of time determining if an offender may have been caught on cameras nearby, while leaving the scene of a crime. With camera systems becoming more and more prevalent, we are asking Itasca residents and business that would like to make the Police Department aware of their surveillance systems to sign up to help expedite the investigation and catch criminals!

Signing up is easy and the program is voluntary. If you would like to participate, here are the details:

• After completing the form below, your information is gathered and available for investigators should they ever need to contact you and ask for your help solving a crime
• Anything you provide is treated as completely confidential
• You will not be contacted unless an officer or detective is investigating a crime in your area and we would only make contact with you and ask to see video footage of the time frame when a particular crime occurred
• We only want to know about cameras that view public areas such as streets and sidewalks
• Signing up is only to advise the police department of the location of your cameras; no remote access or live viewing is occurring

If a serious crime takes place in your neighborhood, you can help your neighbors and the community with your voluntary participation. Still have questions? Contact Deputy Chief Tim Mace at police@itasca.com or call 630-773-1004.

To sign up, complete the fillable form below.

1. First Name

2. Last Name

3. Residence or Business

Residence

Business

4. If Business - Name of Business

5. Address Line 1 *

6. Address Line 2
(Apartment, Suite, Unit, Building #)

7. Phone Number

8. Email Address?

9. How many cameras that point toward a public area?

	1
	2
	3
	4
	5

	6
	7
	8
	More Than 8

10. Camera Views (Select All That Apply)

	Front
	Back
	Side
	Driveway

	Side / Driveway
	Parking Lot
	Other

11. What is the Minimum Retention Period for the recordings? *
(Example: 1 day, 3 days, 7 days etc..)

To receive a copy of your submission, please fill out your e-mail address on the right before choosing the submit button.

After you hit the submit button below, your information will be logged and recorded. Be assured your submitted information will be confidential in nature. Thank you for helping to make Itasca a safer place to live and work!

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