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 Wine and Food Festival - Food Vendor Application, Guidlines and Information

    July 13, 2019 ◊ 2 PM – 8 PM ◊ Dillon’s Woods, Purcellville, Virginia ◊ The Purcellville Wine & Food Festival features local... More…

  1. Purcellville Wine and Food Festival - Exhibitor Application, Guidelines and Information

    July 13, 2019 ◊ 2 PM – 8 PM ◊ Dillon’s Woods, Purcellville, Virginia ◊ The Purcellville Wine & Food Festival features local and... More…

  2. Purcellville Wine and Food Festival - Winery Application, Guidelines and Information

    July 13, 2019 ◊ 2 PM – 8 PM ◊ Dillon’s Woods, Purcellville, Virginia ◊ The Purcellville Wine & Food Festival features local and... More…

Purcellville Arts Council

  1. Artist Application to Participate in the 2019 Arts in the Garden at the Purcellville Wine and Food Festival

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

  1. 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…