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Surveillance Video Form

Bryan Williams, January 23, 2025February 28, 2025

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1Background

2Business

3Investigation

4Summary

Background

Directions: Provide details about the assigned investigator and schedule.

Investigator

Choose the investigator assigned to conducting the investigation.

Email

Phone

Date Assigned

Date Due

Deadline

Days Until Deadline

Business Details

Directions: Provide details about the business from which the video is being obtained.

Business Name

Store Name

Store Number

Claim Number

Address

Address Line 1

City

State

Zip Code

Surveillance/ VMS Systems

ORCHID
Genetec
ADT
Arlo
Lorex
Rhombus
Blink
Avigilo
Other

Choose the system used by the business.

Other VMS

Collected Email Event

Subject Details

Directions: Provide details about the target subject or subjects being investigated.

First Name

Last Name

Age

Ethnicity

Subject Images

Click or drag a file to this area to upload.

Upload any available images of subject.

Subject's Address

Address Line 1

City

State

Zip Code

Subject's Email

Subject's Phone

Surveillance Images and Videos

Directions: Upload surveillance videos in at least one of three repositories.

Upload Videos to PI Toolkit

Click or drag files to this area to upload. You can upload up to 5 files.

Upload Still Images to PI Toolkit

Click or drag files to this area to upload. You can upload up to 5 files.

Timeline

Directions: Provide information about each step of the investigation.

Event

Provide the date that the event occured.

Description

Describe the event.

Exhibits

Images
Video
Document
Audio

Select all the exhibits that have been collected to document the event.

Tracking

Directions: Provide information about the status of the investigation.

Status

Tasks

Date Collected

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Investigators

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