Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Police Community Camera Program

  1. Contact Information

  2. Camera Information

  3. Camera views*

    Select all that apply

  4. Acknowledgment

  5. If necessary, the Pella Police Department will contact you directly, using the information provided by you at the time of registration, to request the appropriate video surveillance footage. Any and all video surveillance footage shall remain the property of the registrant until it is requested by the Pella Police Department and collected from the registrant by the Pella Police Department. The PCCP does not grant the Pella Police Department the right to directly or remotely access a registered individual’s camera(s), cloud storage, or surveillance footage unless expressly authorized by the registered owner. Your voluntary participation in this program shall not be construed as an obligation to release any surveillance video to the Pella Police Department upon request. Any footage containing or related to criminal activity collected by the Pella Police Department may be used as evidence during any stage of a criminal proceeding. This program is entirely voluntary; registrants can withdraw consent for the inclusion of their camera information in the VSCRP database at any time. Under no circumstances shall registrants construe that they are acting as an agent and/or employee of the City of Pella and/or the Pella Police Department through the program.

  6. Leave This Blank:

  7. This field is not part of the form submission.