Name of person requesting access *(required) Name of agency (if applicable) Contact details Please provide at least one method of contacting you regarding your request. Contact phone Postal address (please include postcode) Email address Details of the footage Type of footage *(required) Security Camera Body Worn Camera Location footage captured *(required) Please provide street name or location (eg 50 The Octagon, Dunedin Public Library or Logan Park etc) and/or DCC Officer details (ID#) Date footage was captured *(required) Time footage was captured *(required) Request information Reason for granting access to view footage (maximum 150 words) Is the individual captured in the footage the same individual who is requesting to view the footage? *(required) Yes No If no then please provide relationship Police warrant/investigation/case reference number Privacy statement:We collect personal information from you, including your name, contact information, location, computer or network. We collect your personal information in order to communicate with you about processes and decisions relating to the Request to Access DCC Security or Body Worn Camera footage You have the right to ask for a copy of any personal information we hold about you and to ask for it to be corrected if you think it is wrong. If you’d like to ask for a copy of your information, or to have it corrected, please contact us at privacy@dcc.govt.nz, or on 03 477 4000, or write to Dunedin City Council, PO Box 5045, Moray Place, Dunedin 9058 . You will receive a Thank-you page in this browser window and a confirmation email upon successful submission of this online form.If the form does not submit successfully, there will be an error message listed at the top of the form Still didn't find what you were looking for? Search