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2. First Name*
3. Last Name*
5. Business Name
6. Street Address of Business/Residence*
8. City*
9. State*
10. Zip*
12. Phone Number*
13. Email Address
15. Camera / System Type*
    (e.g., Ring, Arlo, Wyze, Nest, etc.)
16. Software Type
    (e.g., CCTV, MP4, AVI, etc.)
17. How many cameras do you have?*
18. Storage capability:
20. What areas do the cameras cover?*

    1. Interior
    2. Exterior
    3. Front Yard

    1. Back Yard
    2. Street
    3. Other
21. If other, please list:
23. Do you have audio recording?

    1. Yes
    2. No
24. Are you able to review video footage?

    1. Yes
    2. No
25. Are you able to save/burn video footage?

    1. Yes
    2. No
27. Are your images saved and stored on a DVR or recording device? Please explain.*
28. If yes, how long do recordings remain on your device before being automatically deleted.
30. Is there anything specific to your camera system that you would like us to know about?
32. Privacy Statement
    Privacy Statement Your participation in this program may be subject to disclosure under the California Public Records Act. Unless exempted from disclosure by California law, the City may be required to disclose documents showing that you participated in the program.
34. Disclaimer of Liability
    The City of Monterey Park is not liable for any improper or incorrect use of materials or other information submitted by participants in this program. In no event is the City of Monterey Park liable for any damages, whether direct, indirect, incidental, special, exemplary or consequential (including, without limitation, business interruption or loss of use, data, or profits) regardless of cause, and on any theory of liability, whether in contract, strict liability, or tort (including negligence or otherwise) arising in any way out of the use of materials or other information submitted as to the City as part of this program, even if advised of the possibility of such damage. This disclaimer of liability applies to any damages or injury including, without limitation, to those caused by any failure of performance, error, omission, interruption, deletion, defect, delay, computer virus, communication line failure, theft, or destruction of data, whether for breach of contract, tortious behavior, negligence, or under any other cause of action. If you do not agree to or understand any or all of these terms, please do not participate in this program.
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36. 1. Receive an email copy of this form.
37. Email address

    This field is not part of the form submission.

38. Submit

* indicates a required field