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Form 181-1 Request for Video Recording Release Form.docx
181-1 Request video recording release
Handle: Document-55019
Owner: Robinson, Lisa (User-702, lisa.robinson:HFCRD37.LOCAL)DS
Thursday, October 21, 2010 11:17:25 AM MDT
Wednesday, September 23, 2020 04:01:41 PM MDT
Modified By: Doris, Carmen (User-11, carmen.doris:HFCRD37.LOCAL)DS
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  • Form 181-1
February 2006REQUEST FOR VIDEO RECORDING RELEASE FORMThis form must be completed by all individuals who wish to view video recordings that were prepared for surveillance purposes by or on behalf of the Division.
  • Name: ____________________________________ Date: Address: Phone Number: Video Log Number: Reason(s) for Requesting Opportunity to View the Video Recording(s):
Signature of Applicant: This information is being collected in order for the Division to determine whether or not the information can be released to you in accordance with the provision of the Freedom of Information and Protection of Privacy Act.
  • If you have any questions about this collection of informatio...
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Microsoft Word (.docx) - application/vnd.openxmlformats-officedocument.wordprocessingml.document
Form 181-1 Request for Video Recording Release Form.docx
No
50
14855
No
Appears In: 181-1 Request for Video Recording Release Form
Preferred Version: Form 181-1 Request for Video Recording Release Form.docx