What's the nature of your enquiry?

To have your existing CCTV details removed, please use the CCTV Details Delete Registration Form instead.

Please provide your registration in English. Mandatory fields are in bold. If unknown, please type "unknown".

Registration Type *

• New registration
• Update registration

Establishment Details

Business or Residential Name *

Type of Business or Residential
- Select most appropriate -Residential - HomeAssociation/Club (Not licensed premises)- ReligiousAssociation/Club (Not licensed premises)- SportsAssociation/Club (Not licensed premises)- OtherEducation - SchoolEducation - University/TAFEEducation - OtherEntertainment (Not licensed premises)- Cinema/TheatreEntertainment (Not licensed premises)- OtherFinancial - BankFinancial - Building SocietyFinancial - Credit UnionFinancial - OtherGovernment - NSW Emergency ServiceGovernment - NSW UtilityGovernment - FederalGovernment - StateGovernment - LocalGovernment - MilitaryGovernment - OtherHealth Care - ChemistHealth Care - HospitalHealth Care - Medical Centre/Doctor's SurgeryHealth Care - OtherIndustrial - ConstructionIndustrial - FactoryIndustrial - WarehouseIndustrial - OtherLicensed Premise - Hotel/PubLicensed Premise - Nightclub/BarLicensed Premise - Liquor OutletLicensed Premise - OtherRetail - ElectricalRetail - FoodRetail - Gun shopRetail - JewelleryRetail - Motor VehiclesRetail - NewsagentRetail - Pawnbroker/Second Hand Goods DealerRetail - Real EstateRetail - Shopping ComplexRetail - OtherService - AccommodationService - Auto RepairService - Service StationService - OtherTransport - AirportTransport - Bus/Coach Terminal/DepotTransport - Ferry/Vessel Marina/Terminal/WharfTransport - Railway StationTransport - Other

Shop Location
(Shop number Shopping Mall name - if applicable)

Street Address *
(Street No., Street Name)

Suburb *

State
(NSW Police Force will only register business or residential CCTV details in NSW)

NSW

Post Code *

CCTV Details

Number of Cameras in Location *
1 to 5 cameras6 to 15 cameras16 to 30 cameras31 cameras and over
(Please select one option)

Describe Areas Recorded *
(Exterior, interior, footpath, register, foyer, etc.)

Recording Period *
24 / 7Business HoursMotion Activated
(Please select one option)

Image Retention Period *
(Material kept before being deleted)
1 day only2 to 7 days8 to 14 days15 to 21 days22 to 31 days32+ days
(Please select one option)

Describe Type of System *
(Please tick as many that apply)

• Digital
• Analogue
• Pan-tilt-zoom
• Uni-directional
• Multiplex (more than 1 camera can be viewed at a time)
• Low-light capable

Medium for Supplying Footage
- Select one -DVDUSBOther

Software to Playback Digital Footage
(Quicktime, Windows Media Player, etc.)

Camera Make (Brand)

Camera Model

Contact Details

CCTV Owner Full Name *

Owner 24-Hr Contact Number *
(10 digits and no spaces eg. 0299887766 or 0412345678)

Email Address

CCTV Operator
(If monitored by a security company)

Operator 24-Hr Contact Number
(10 digits and no spaces eg. 0299887766 or 0412345678)

Alternate Contact Name

Alternate 24-Hr Contact Number
(10 digits and no spaces eg. 0299887766 or 0412345678)

Is there anything else you wish to add?
*

NSW Police Force thanks you for voluntarily providing your business or residential CCTV details.

With your help, a safer community.