Taxicomms Camera Installation Confirmation Form

Taxicomms Camera Installation Confirmation Inspection Certificate

Fill this form out for each completed installation.
The information contained in this form will be used by Taxicomms as part of the requisite CCTV installations register. This is a requirement of State Government regulators. By submitting this form you agree to the information being stored by Taxicomms and possibly shared with the State Government.

The Taxicomms TaxicamHD Taxi Security Camera System Conforms with the 2017 NSW TSCS specifications.
Date of Inspection

DayMonthYear
Date
Workshop Job Number
Your Name*
Your Company name*
Town, Suburb and State
Email this form to:
example@example.com
DVR Serial Number*
Internal Camera (1) S/N*
External Camera (1) S/N*
External Camera (2) S/N
Internal Camera (2) S/N
Road Facing Camera S/N
Vehicle Registration Number*
Vehicle Identification Number (VIN)
Fleet Number (eg B001)
Operator's Name
Please spell this correctly
Operators Fleet or Management Company or Network
Duress Trigger Checked*

YES
Screenshot of Camera Web Browser Live View Pane

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This screenshot will contain images from each camera showing evidence that the cameras are operating and aligned correctly. Cancelof
Declaration

By submitting this form I declare that the information provided is true and accurate and that the TaxicamHD camera is fitted in accordance with Taxicomms Instructions and is operating correctly.
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Signature of Person conducting the Inspection of This installation

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Should be Empty:

Taxicomms Camera Installation Confirmation Inspection Certificate

Declaration