NYS Video Surveillance

Camera Withdraw Request

* Required Field

Business Name
First Name*
Last Name*
Email*
Phone

		Below please provide an address or description for every camera that you have registered with our database that you wish to have removed from our records. If you wish to remove all cameras registered to you, please indicate so below: *

I hereby request that the New York State Division of Homeland Security and Emergency Services remove my information and terminate my registration with the Surveillance Database Access Program for the residence/business located at the above address and, by doing so, I understand that my information will no longer be accessible to law enforcement agencies. I understand that it may take up to five (5) business days to process this request and that if I wish to re-register I may do so at any time.