Video Foundation Questionnaire Form DR#(Required)Name of Business(Required)Address of Business(Required)Your Name(Required) First Last Your Phone(Required)Your Email(Required) Enter Email Confirm Email Title of person providing records and or video(Required)Years in position(Required)Duties in current position(Required)Name and description of video provided(Required)1. How was the video surveillance stored?(Required) DVR Cloud Hard Drive Other 2. Are the date and times accurate?(Required) Yes No 3. How do you determine that the transaction record (receipt) is for the same event depicted in the surveillance video?(Required)4. What are the retention policies for video surveillance? How long are videos kept?(Required)5. Was the video surveillance system functioning properly when the videos were provided?(Required) Yes No 6. Have you ever had experience with the video surveillance system malfunctioning?(Required) Yes No 7. Have you ever had issues with the accuracy of the date and time stamp?(Required) Yes No 8. Is the video surveillance system owned by, and maintained by your company?(Required) Yes No I hereby certify that the information provided in this submission is true, accurate, and complete to the best of my knowledge.(Required) I confirm that the information provided is true, accurate, and complete Signature of person completing this form(Required)Name of person completing this form(Required) First Last