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Form Center

Welcome to the City of Rockville Form Center. If your form requires a response, we will contact you as soon as possible.
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.

Claims

  1. Automobile Claim Form

    Use this form to file a claim against the City of Rockville (City), and our insurer the Local Government Insurance Trust (LGIT),if you... More…

  2. Generic Claim Form

    Use this form to file a claim against the City of Rockville (City), and our insurer(s),if you believe the City should be legally liable... More…

  3. Sewer Backup Claim Form

    Use this form to file a claim against the City of Rockville (City), and our insurer the Local Government Insurance Trust (LGIT), if you... More…

  1. Employee First Report of Injury

    Use this form to file an Employee First Report of Injury

  2. Non-Injury Incident Report Form

    Use this form to file reports to the City's Safety & Risk Management Division for the following types of incidents: vehicle accident... More…

  3. Supervisor First Report of Injury

    Use this form to file a Supervisor First Report of Injury

Code Enforcement

  1. Abandoned Vehicle Report

    Use this form to report an abandoned vehicle that is located within corporate city limits of Rockville. A vehicle may only be reported... More…

  2. Report Property Maintenance Violations in Rockville

    Use this form to report any property maintenance violations you observe from the public right-of-way. The information you provide will... More…

  1. Report Landlord/Tenant Concerns in Rockville

    Complete this form to request assistance with Landlord/Tenant inquiries. The office can assist in such matters as security deposit... More…

Community Planning and Development Services

  1. Building and Fire Code Complaint Form

    Building and Fire Code Complaint Form

  2. Request a Licensed Facility Fire Inspection

    Family Day Care, Group Homes, Summer Camps, Private Schools, and Other Licensed Facilities

  3. Rockville2040 Community Comments

    Give us your thoughts on the future of Rockville as we begin the update to Rockville's Comprehensive Master Plan

  4. Southlawn Industrial Area Feasibility Study

    Share your thoughts for the Southlawn Industrial Area Feasibility Study, which will identify possible land use and traffic solutions to... More…

  1. Request a Commercial Fire Inspection
  2. Request a Residential Fire Inspection
  3. Rockville's Pike Plan Update Interest Group

Public Works

  1. Conservation Landscaping Rebate Application

    Application to receive a conservation landscaping (native plants) rebate from the City of Rockville.

  2. Pavement Removal Rebate Application

    Application to receive a pavement removal (replacement with native plants or sod) rebate from the City of Rockville.

  3. Report a Leaf Collection Concern

    Please use the form below to report any specific concerns regarding vacuum leaf collection, keeping in mind that we have a full... More…

  4. Report a Streetlight Outage or Problem
  5. Traffic and Transportation Service Request

    If you live in Rockville and have a request, problem or comment concerning traffic, transportation or street lights, please send your... More…

  1. General Request Form

    If you have a request from the Public Works Department, please fill out the information below. If the request is an emergency, please... More…

  2. Rain Barrel Rebate Application

    Application to receive a rain barrel rebate from the City of Rockville.

  3. Report a Missed Recycling, Refuse, Yard Waste or Special Collection

    To report a missed collection.

  4. Request Recycling or Refuse Cart Service

    Request or return a cart, swap an existing cart, or request cart repair.

  5. Tree Canopy Rebate Application

    Application to receive a native tree canopy rebate from the City of Rockville.

Recreation and Parks

  1. Class Evaluation
  2. Parks and Facilities Service Request

    If you live in the City of Rockville corporate limits and have a request, problem or comment concerning park or facility (other than a... More…

  3. Picnic in City of Rockville Parks - Resident / Non-Resident Park Rental Request
  4. Registered Dog Park Members Only Sign Up For Email Updates

    If you are a registered Dog Park member, please submit your email address to receive future updates and new combinations to the Dog... More…

  5. Senior Center Facility Rental Information Request

    If would like more information about renting the Senior Center for weddings, meetings, or special events, please fill out the form... More…

  6. Senior Snow Removal Assistance

    If you are a senior, Rockville resident that needs assistance with snow removal this Winter, please fill out this form which will be... More…

  7. Start or Join a Team
  8. Suggest a Class
  9. Unsubscribe

    Form to unsubscribe to emails from Rockville Recreation and Parks.

  1. Email Recreation and Parks

    Let us know what questions you may have about Rockville Recreation and Parks

  2. Picnic in City of Rockville Parks - Montgomery County Public School Park Request
  3. Premier Field Permit Application
  4. Request a Tour

    Glenview Mansion, F. Scott Fitzgerald Theatre & Social Hall

  5. Senior Center Volunteer Application
  6. Snow removal Volunteer

    If you can help a senior neighbor out this Winter please fill out the form below. Thank you for your time!

  7. Street Trees or Park Trees Service Request

    If you live in the City of Rockville corporate limits and have a request, problem or comment concerning street trees or park trees,... More…

  8. Swim and Fitness Center Class Evaluation

    Please take a moment to let us know what you thought of your class. Your feedback is important to us.

  9. Volunteer Application

Report a Concern

  1. Abandoned Vehicle Report

    Report abandoned vehicles.

  2. Community Centers, Facilities, Parks

    City facilities, community centers, parks, playgrounds, trails.

  3. Environment

    Construction site run-off, drinking water quality, environmental comments or concerns, fats, oil and grease (FOG), Storm water pond... More…

  4. Graffiti

    Report graffiti in the city.

  5. Landlord/Tenant Concerns

    Request assistance with landlord/tenant matters.

  6. Property Maintenance Violations

    Trash, tall grass, exterior maintenance, overcrowding, unlicensed rentals, oversize vehicles.

  7. Recycling and Refuse

    Leaf collection, missed recycling, refuse or yard waste collection, special collection.

  8. Snow Removal

    Snow and ice removal on streets, sidewalks, city path or trail.

  9. Streetlights

    Streetlight outage or problem.

  10. Suspicious Activity

    Suspicious activity, criminal activity, homeland security issues.

  11. Utility Billing - Water, Recycling and Refuse

    Utility billing question or concern.

  1. Animal Control Request

    Animal Control, dog at large, off-leash dogs, stray, wild or dead animal.

  2. Community Services

    Emergency financial assistance, mentoring or youth development programs, grants to non-profit organizations, linkages to learning,... More…

  3. General

    Americans with Disabilities Act (ADA), Public Information Office, website, concerns with Pepco or cable service.

  4. Home and Property

    Building and fire code violation, construction without a permit, city construction activity on my street, discarded furniture on City... More…

  5. Other

    Report other comments or concerns not listed above.

  6. Recreation

    Classes, arts, camps, playgrounds, afterschool care, teens, sports, special events.

  7. Senior Services

    Counseling, health and wellness, home maintenance, senior programs and services, senior transportation.

  8. Street Trees and Park Trees

    Broken or dead limbs, disease, insects, stump removal, replacement tree, tree trimming.

  9. Streets and Sidewalks

    Pothole, street and sidewalk maintenance, street signs, sewer or meter cap.

  10. Traffic and Transportation

    Bike and pedestrian safety, pavement marking, traffic calming, traffic signals, traffic signs.

  11. Water, Sewer, Storm Drain

    Blockage in sewer line, sewer back-up, water leak, water main break.