Form Center

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Council Forms

  1. Community Policing Advisory Committee Contact Form

    Contact form for the Community Policing Advisory Committee (CPAC)

  2. Council Request Form
  3. Planning Commission Contact Form

    Contact form for the Planning Commission

  1. Council Contact Form
  2. Economic Development Advisory Committee Contact Form

    Contact form for the Economic Development Advisory Committee (EDAC)

Customer Forms

  1. Business Directory Information Form

    This is a form where a business can add/modify/delete information to be contained in the Town of Purcellville's Online Business... More…

  2. Contact Form
  3. FOIA Request Form

    This is a form for citizens to submit a request for public records subject to the Freedom of Information Act.

  4. Personal Property Bill Dispute Request

    This is a form to dispute a bill.

  5. Public Comments on Proposed Budget

    This is a form where you can provide comments to the Town Council on the Proposed Budget.

  6. Train Station Rental Application
  1. Citizen Issue Form

    This form allows you to submit issues with utilities, streets, streetlights, tall grass, trash/recycling, or other community issues.

  2. COVID-19/ FINANCIAL HARDSHIP UTILITY REPAYMENT REQUEST

    The repayment plan allows utility customers additional time to pay their balance as a result of financial hardship from the COVID-19... More…

  3. Payment Plan for Delinquent Utility Bill

    This is a form to request a payment plan for a delinquent utility bill.

  4. Police Department Contact Form
  5. TOWN OF PURCELLVILLE

    Application for Employment

HR Forms

  1. FAMILIES FIRST CORONAVIRUS RESPONSE ACT (HR6201) LEAVE OPTIONS
  2. TOWN OF PURCELLVILLE

    Application for Employment

  1. PAYROLL

    Use this form for payroll prior period adjustments

PPD Forms

  1. Compliment Form

    This form is for filing a compliment regarding an officer’s or other employee's, conduct or the level of service, provided by the... More…

  2. Report Aggressive Driving Form

    This form is only for reporting aggressive driving incidents, which took place within the Town of Purcellville. Information submitted... More…

  3. Service Complaint Form

    This form is for filing a complaint against an officer or other staff member of the Purcellville Police Department. Information... More…

  1. Funeral Escort Request

    The Purcellville Police Department requires 48-hours advanced notice for any funeral escort. Once your online form is submitted, you... More…

  2. Serialized Inventory
  3. Traffic Complaint Form

    This form is in place to allow community members the opportunity to alert the Purcellville Police Department to potential traffic... More…

Purcellville Arts Council

  1. 2021 Artist Application to Display at Purcellville Town Hall

    The Purcellville Arts Council is looking for local artists interested in exhibiting their work at Purcellville Town Hall. Please submit... More…

  1. 2021 Jim "Doc" Wiley Leadership in the Arts Nomination Form

    This annual award, initiated in 2018, recognizes outstanding, sustained contributions to the arts and culture in the greater... More…