Eyes on Crime Registration

Surveillance System Type

Is this for an individual or a business?

Name of Business

Surveillance System Manufacturer

Model Number

Number of Cameras(Required)

Surveillance System Street Address(Required)

Street Address ZIP Code

Contact Information

Name

First Last

Email(Required)

Phone

May the Oxnard Police Department contact you?(Required)

Preferred Time of Contact(Required)

Additional Information:

Information provided on this form will be for Official Use Only. The Oxnard Police Department will not provide your information to any non-law enforcement agency and only then for Official Use Only. Also, the Oxnard Police Department will not use your information to create a distribution list unless the information is directly related to your registration. Thank you for your participation!