Request to view CCTV footage Form

Name of staff (Requester)*

From which department*

Date of Incident*

Click calendar icon to select date

Time of Incident*

:

Location of Incident*

Any police / ambulance reports?*

Purpose of requesting the CCTV footage*

Please indication location, time and full description of incident.

Please indicate the individuals involved*

Indicate "NA" if none

Please upload supporting documents or photographs if any

Drop files here or

Accepted file types: jpg, gif, png, pdf, docx, doc, xls, xlsx, Max. file size: 60 MB.