Form Center

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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. 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. 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. Purcellville Music & Arts Festival Art Show Entry Appliction

    In support of the many artists living and working in the area, the Purcellville Arts Council announces an art exhibit in conjunction... More…

Purcellville Arts Council

  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…