Subject Access Request CCTV - police and third party form

Request to access CCTV footage

This form is to be used by police, solicitors or court representatives requesting CCTV footage for investigations or court proceedings.

Section 1: Contact details

Full name of police officer or third party *

Police officer badge number *

Police station *

Address of third party (including full postcode) *

Crime Incident ref no, or Court case ref no *

Phone number *

Email address *

Confirm email address *

Give details of the incident under investigation or subject to court proceedings *

Information to enable us to deal with your request

Location of the CCTV camera *

Date and time the image would have been recorded (please estimate) *

Please provide description of the person or incident you are investigating *

If known, please provide the name of the Peabody employee you have been dealing with about this incident or investigation

Please tick the box to declare that the information given is true and accurate. *

Please tick the box to declare that the information given is true and accurate.

I confirm that I am making this request under one of the following exemptions in DPA 2018 Schedule 2 (please tick which one applies) *

For crime and taxation purposes

By order of the court or for legal advice/ proceedings

Date *

Data protection

We take our data protection responsibilities seriously and collect, store and process data in line with data protection law. To find out more about how we use your personal information please visit our privacy policy statement.

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Subject Access Request CCTV police and third party form

Request to access CCTV footage

Section 1: Contact details

Information to enable us to deal with your request

Data protection

Contact us