Form Center Module

Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

▼Customer Forms

  1. Application for Employment
  2. Citizen Issue Form

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

  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

  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. FOIA Request Form

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

  3. Personal Property Bill Dispute Request

    This is a form to dispute a bill.

  4. Public Comments on Proposed Budget

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

▼Parks and Rec Forms

  1. Application for Special Event Permit
  1. Christmas in Purcellville Parade Guidelines, Information and Entry Form

    Join the 15th Annual Christmas in Purcellville Parade & Festivities! Saturday, December 15th, 2018 @ 12:00p.m The Town of... More…

▼Purcellville Arts Council

  1. 2018 Arts in the Garden at the Purcellville Wine and Food Festival Application

    The Town of Purcellville Arts Council is sponsoring the Arts in the Garden feature at the Purcellville Wine and Food Festival on... More…