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. 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, 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. 2019 Purcellville Music & Arts Festival Art Show Entry Application

    The Purcellville Arts Council is hosting the Art Hall in the Bush Tabernacle during the 2019 Purcellville Music and Arts Festival on... More…

  1. Application for Special Event Permit

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…