Request for records - Council's CCTV

Applicant

Only those named on the "Register of Authorised Persons" provided to Council by NSW Police can authorise this request.

Name *

Rank *

Police ID

Location/Unit

Phone

Email Address

I request a copy of images recorded by Queanbeyan-Palerang Regional Council's CCTV cameras. The requested images relate to

Date of footage

Time

Location

Incident/Cops Number

Why do you require these images?

By submitting this request *

I acknowledge that I will not make a copy of these images or disclose the images to any other persons unless lawfully required to do so

Applicants Signature

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Authorised Persons Name *

Authorised Persons Signature

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Date