Form Center

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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. 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. Citizen Issue Form

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

  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
  2. Purcellville Music and Arts Festival - Food Vendor Application

    The Purcellville Music and Arts Festival is a free community event featuring multiple stages and performances showcasing local and... More…

  1. Purcellville Music and Arts Festival - Exhibitor Application

    The Purcellville Music and Arts Festival is a free community event featuring multiple stages and performances showcasing local and... More…

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.

  3. Service Complaint Form

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

  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. 2020 Artist Entry Form

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

  2. 2020 Purcellville Music & Arts Festival Art Show Entry Application

    The Purcellville Arts Council is hosting the Art Hall in the Bush Tabernacle during the 2020 Purcellville Music and Arts Festival on... More…

  1. 2020 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…

  2. 2020 Submission to Purcellville Arts Council for Creative Communities Partnership Grants

    Local non-profit arts organizations are invited to submit requests for funding to the Purcellville Arts Council by Friday, March 6,... More…