Form: CCTV Request

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Details of organisation making request

Fields marked with an * must be completed

 
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Details of your client
 
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CCTV online request form

Please use this form to make a request for CCTV footage

Type of incident for which the footage is being requested (for example, road traffic collision)

For example, a junction or road that the incident occurred
 
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Reason for request

Please detail why this request is required in support of legal proceedings or by law.

Details will allow Whitstable Medical Practice to consider whether this is a valid request under the Data Protection Act 2018 Schedule 2.5 (3) (a)

Declaration

By submitting this form you are declaring that the details provided are true to the best of your knowledge and the request made is to be used for a lawful purpose.

I understand a charge of £80+VAT is payable in order to receive (standard request 1 or 2 cameras) copies of CCTV. If your request is deemed as significantly more complex (advanced request 3 or more cameras) any additional fees that apply would be quoted in advance.

Footage will only be released on receipt of payment and will be provided via an electronic download link.

Please tick to confirm that you understand and agree with the declaration.

 
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