The Greenfield Police Department would like to partner with you to solve crime. If you have a
home video surveillance system that may cover a driveway, sidewalk or roadway, we want to
hear from you. Register your location and in the event a crime has been committed in your area
our Detectives may contact you to see if your system can help them solve the case. Your
information will be for our Detectives only. It will not be shared with anyone outside of the
Greenfield Police Department. This is a new initiative for community involvement to keep
Greenfield a safe place to live.

We appreciate your continued support and look forward to working with you!

Your Name:

Your Address:

Daytime Phone:

Evening Phone:

Email:

Length of recorded video:

What does your video camera capture:

Thank you for registering. Your partnership could make the difference in solving crime in your
neighborhood!

Birthdate:

(Your birthdate will help us identify you accurately.)