CCTV Video Request Form

The USC Department of Public Safety is able to provide Digital Closed Circuit Television (CCTV) recordings to non-law enforcement parties upon official request. Video footage, when available, will be released to:

  • Victim(s)
  • Authorized representatives of victim
  • Insurance carriers against which a claim has been made and/or might be made
  • Person suffering bodily injury, property damage or loss

The Department of Public Safety has the right to refuse release of material if:
It could endanger the safety of a witness or other involved party
It could hinder the successful completion of an investigation
The Department is prohibited by law from releasing the material if a request from a law enforcement agency requests the video be held or court orders a hold on video.

CCTV Video Request Form
NAME OF APPLICANT/AGENCY:
NAME OF APPLICANT/AGENCY:
First Name
Last Name
PARTY OF INTEREST: (Please check one)
$150.00 Service Fee
TIME OF INCIDENT:
INCIDENT TYPE: (Please check one)

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