Video Surveillance Request Form

Video Surveillance Request Form
Name*

First NameLast Name
Email*
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Date Range of Incident*

MonthDayYear
Date
Date Range of Incident*

MonthDayYear
Date
Time Range of Incident (Please be as accurate as possible)*

Hour Minutes

AM/PM Option

Until
until
Hour Minutes

AM/PM Option
Event Attended (If Applicable)
Location of Incident*
Ex: Parking Lot A, North Wing Lobby, Room #, etc.
Parking lot pole number or indoor column location (if known):
GPS Coordinates
Open Google Maps and right-click on the location to copy GPS coordinates.
Type of Incident*

TheftSuspicious ActivityVehicle AccidentInjuryProperty DamageOther
Ky State Fair Board Report Number or Police Report Number
If an official report was filed, provide the reference number
Detailed description of what happened:*
What happened? Who was involved? What should we be looking for?
Vehicle Information (If Applicable)
Make, model, color, license plate number (partial or full)
Person(s) Involved
Clothing descriptions, known names, etc.
Are you a law enforcement officer or investigator?

YesNo
If so, please list your agency and badge number.
Supporting Media

Photos of the scene, people involved, damage, vehicles, screenshots, diagrams, or other visual references.
Cancelof
By submitting this form, you acknowledge that not all incidents are captured by video, and footage may not be available due to storage limitations.

Please note:
- Requests will be processed as time allows.
- Not all areas of Kentucky Venues' properties are covered by video surveillance.
- Video retention is limited by available server storage and may vary.
- Older footage may no longer be available depending on the system’s overwrite cycle.
- Available video will be sent via link to email or mobile phone.
Please verify that you are human*
Should be Empty: