Register Surveillance Camera(s)

Fill out the form below to register your private, residential or business surveillance camera(s) for free with the West Salem Police Department. The information you provide is for Police investigative use only. You will only be contacted by West Salem Police in the event of an active investigation. If you have any questions, please contact the West Salem Police Department at (608) 786-0407.

Contact Information

Name(Required)

First Last

Phone(Required)

E-mail

Preferred Contact Method

Phone

E-mail

Camera Information

Address of Camera(s)(Required)

Street Address Address Line 2 City State ZIP Code

Residential or Business Address

Residential

Business

Total Number of Cameras(Required)

Must be a number, and not written out.

Brand or Type of Camera

Individual Camera Details

For each camera, include the following:

Exterior/Interior Location
Location on Home/Business
Direction Camera Faces (ie: Front of House, North toward alley, etc.)
Length of Recording

Camera One(Required)

Camera Two

Camera Three

Additional Camera(s)

Submit Photos of Camera View(s)

Drop files here or

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 5 MB, Max. files: 10.

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Phone

This field is for validation purposes and should be left unchanged.

Register Surveillance Camera(s)

Contact Information

Camera Information

Individual Camera Details

Village of West Salem

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