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Request to View MCPS Security Camera Video

About this Form

Form number: 236-12

Audience:  MCPS Staff, Parents/Guardians, School Staff, Principals

Last revised: September 2021

INSTRUCTiONS:Video footage recorded by MCPS security cameras may depict misconduct, a serious incident, and/or criminal conduct on MCPS
property, including a school bus. This form should be completed by MCPS school administration after receiving a request by someone
outside of MCPS to view a security camera video, including students, parents/guardians, and law enforcement.
Part I should be completed by an MCPS school administrator and then sent to DSSEM for review, export, and preservation of the video.
DSSEM will arrange for review of the video by the school principal, a representative from OTLS/OSSI, and a representative from OGC.
The principal, DSSEM, OTLS/OSSI, and OGC must all authorize the viewing of the video by the requestor in Part III of this form. DSSEM
will distribute the completed form as noted.
For more information, see MCPS Regulation EGF-RB, Retention and Disclosure of MCPS Video Records, which provides guidance for
school staff when viewing, preserving, or disclosing videos from MCPS security cameras.

Adobe PDF Request to View MCPS Security Camera Video101 KEnglish

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