Form Center

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Customer Forms

  1. Application for Town Businesses:
    Voucher Program, Social Distancing Directory, Purcellville Strong Features

    The Town of Purcellville wants to support its local businesses as much as possible as we all adjust to these changing times for retail... More…

  2. Citizen Issue Form

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

  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.


    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. 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. Purcellville Non-Profit Grant Application

    Thank you for your interest in the Town of Purcellville’s Non-Profit CARES Act Grant Program. This program is for non-profit... More…

  6. Train Station Rental Application

HR Forms


    Application for Employment


    Use this form for payroll prior period adjustments

Parks and Rec Forms

  1. Application for Special Event Permit
  1. Purcellville Rocks!

    Register the 20 codes you found on the bottom of the painted rocks that were part of the Purcellville Rocks Scavenger hunt here for a... 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 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…