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2. YORK POQUOSON SHERIFF'S OFFICE CAMERA REGISTRATION FORM FOR YORK COUNTY RESIDENTS AND BUSINESSES
4. Name*
5. Email Address*
7. Address of Camera(s)*
9. City*
10. State*
11. Zip Code*
13. Phone Number
15. Location of Security Camera(s)*
    Please provide the location of your security camera(s) that are located at the provided address and directions cameras face. Also provide the retention period for the video.
17. Make and Model of Security Camera(s)
    Please provide the make and models (if known) of your security camera(s)
19. Will you be willing to share video if requested by the York Poquoson Sheriff's Office?*
    -- Select One --YESNO
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21. 1. Receive an email copy of this form.
22. Email address

    This field is not part of the form submission.

23. Submit

* indicates a required field