This program provides City funding for a matching grant initiative to be offered to interested citizen groups. Grant funding will be... More… This program provides City funding for a matching grant initiative to be offered to interested citizen groups. Grant funding will be available on a 50/50 match basis (up to $1,000) for any qualified, citizen group association project. Matching funds may be in the form of cash or inkind services such as volunteer hours, donated supplies or equipment. Those eligible may receive one grant per fiscal year budget period. City staff will review each application for final approval. The same project may be submitted for no more than three consecutive years.Less…
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… Use this form to file a claim against the City of Rockville (City), and our insurer the Local Government Insurance Trust (LGIT),if you believe the City should be legally liable for damage caused to your vehicle or personal injury resulting from an automobile accident. The City will accept this form as meeting the notice provision Section 5-304(b) of the Maryland Local Government Tort Claims Act (LGTCA). Upon submitting your form, the City's Risk Management Division will file a claim through LGIT and will email you with your individual claim number and the adjusters contact information. LGIT will handle all aspects of the management of your claim on behalf of the City, and will make all determinations regarding the acceptance or denial of any claims for damages. Less…
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… 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 for damages caused to you or your property. The City will accept this form as meeting the notice provision Section 5-304(b) of the Maryland Local Government Tort Claims Act (LGTCA). Upon submitting your form, the City's Risk Management Division will file a claim through our insurer and will email you with your individual claim number and the adjusters contact information. The City's insurer(s) will handle all aspects of the management of your claim on behalf of the City, and will make all determinations regarding the acceptance or denial of any claims for damages. Less…
Use this form to file reports to the City's Safety & Risk Management Division for the following types of incidents: vehicle accident... More… Use this form to file reports to the City's Safety & Risk Management Division for the following types of incidents: vehicle accident involving City-owned vehicle, property damage to City property, graffiti, City tree falling down and damaging property, reports of uneven sidewalks, potholes, other public safety hazards, etc. Less…
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… Use this form to file a claim against the City of Rockville (City), and our insurer the Local Government Insurance Trust (LGIT), if you believe the City should be legally liable for damage caused to your residence resulting from a sewer backup originating from City maintained sewer lines. The City will accept this form as meeting the notice provision Section 5-304(b) of the Maryland Local Government Tort Claims Act (LGTCA). Upon submitting your form, the City's Risk Management Division will file a claim through LGIT and will email you with your individual claim number and the adjusters contact information. LGIT will handle all aspects of the management of your claim on behalf of the City and will make all determinations regarding the acceptance or denial of any claims for damages. Less…
Use this form to file an Employee First Report of Injury
Use this form to file a Supervisor First Report of Injury
Use this form to report any property maintenance violations you observe from the public right-of-way. The information you provide will... More… Use this form to report any property maintenance violations you observe from the public right-of-way. The information you provide will help the Rockville City Police Department successfully respond to any property maintenance concerns in your community. Please be observant and complete as much of the form as possible. See the list of violation types below to help determine which category of violation to report. The information you submit will be investigated, and if the offense is identified, every effort will be made to ensure the corrections are completed. Rockville City Housing code Inspectors may contact you for additional information if you elect to provide your name in the space provided below. Thank you for helping us help you.Less…
Complete this form to request assistance with Landlord/Tenant inquiries. The office can assist in such matters as security deposit... More… Complete this form to request assistance with Landlord/Tenant inquiries. The office can assist in such matters as security deposit resolution, rent issues, repair requests and lease termination issues. The City will advocate for the Tenant or Landlord in an effort to reach a fair and equitable resolution.Less…
Building and Fire Code Complaint Form
Give us your thoughts on the future of Rockville as we begin the update to Rockville's Comprehensive Master Plan
Authorization of Services for Adventist HealthCare Urgent Care
Application form for 2019 Supervisor Essentials program.
Use this form to request graphic design, copier and/or print services.
mengland@rockvillemd.gov, vbrito@rockvillemd.gov, eover@rockvillemd.gov, bpaul@rockvillemd.gov, acrawford@rockvillemd.gov,... More… mengland@rockvillemd.gov, vbrito@rockvillemd.gov, eover@rockvillemd.gov, bpaul@rockvillemd.gov, acrawford@rockvillemd.gov, ataglienti@rockvillemd.gov Less…
Pre-Registration Application for Fingerprinting
After you have completed a stream cleanup, please fill out the form below regarding the number and types of trash you collected. This... More… After you have completed a stream cleanup, please fill out the form below regarding the number and types of trash you collected. This information helps the City of Rockville develop strategies and outreach methods to reduce pollution. Please send any additional waiver forms to: Adopt A Stream Program 111 Maryland Avenue Rockville, MD 20850 If you have any additional questions, please contact the Adopt A Stream Coordinator, Shannon Philbin, at 240-314-8877 or sphilbin@rockvillemd.gov. Thank you for your efforts to help clean up Rockville's streams!Less…
Use this form to report blackflow prevention information.
Application to receive a pavement removal (replacement with native plants or sod) rebate from the City of Rockville.
Application to receive a rain barrel rebate from the City of Rockville.
To report a missed collection.
Request or return a cart, swap an existing cart, or request cart repair.
If you live in Rockville and have a request, problem or comment concerning traffic, transportation or street lights, please send your... More… If you live in Rockville and have a request, problem or comment concerning traffic, transportation or street lights, please send your information to us. The Service Request Coordinator will assign responsibility for your concern to the appropriate staff for action. If your problem or question is date/time specific, please enter below and include a.m. or p.m.Less…
Application to receive a conservation landscaping (native plants) rebate from the City of Rockville.
Application to receive a rebate for replacing existing impervious surface with permeable pavers from the City of Rockville.
Please use the form below to report any specific concerns regarding vacuum leaf collection, keeping in mind that we have a full... More… Please use the form below to report any specific concerns regarding vacuum leaf collection, keeping in mind that we have a full schedule, and your neighborhood deserves our undivided attention during your scheduled week.Less…
Application to receive a native tree canopy rebate from the City of Rockville.
Application for event sponsors
Let us know what questions you may have about Rockville Recreation and Parks
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… If you live in the City of Rockville corporate limits and have a request, problem or comment concerning park or facility (other than a tree problem), please send your information to us using this online form. The Parks and Facilities administrative staff will assign responsibility for your concern to the appropriate staff for action. If this is an emergency request, please call 240-314-8700 between the hours of 7 a.m. - 3 p.m.; Monday - Friday. If the emergency is after hours call the City Police Department at 240-314-8900. Please note: All routine requests will be prioritized and handled in an appropriate, timely manner.Less…
If you can help a senior neighbor out this Winter please fill out the form below. Thank you for your time!
This form is used to check references for applicant eligibility to work with summer camps.
Please take a moment to let us know what you thought of your class. Your feedback is important to us.
Fill out a registration form and submit non-refundable $100 registration fee. Once space for your child is confirmed, you will be given... More… Fill out a registration form and submit non-refundable $100 registration fee. Once space for your child is confirmed, you will be given a packet of forms required by the MSDE Office of Child Care and City of Rockville regulations. All forms, some of which need to be completed by your child’s doctor, must be filled out before your child may start the program.Less…
Glenview Mansion, F. Scott Fitzgerald Theatre & Social Hall
If you are a senior, Rockville resident that needs assistance with snow removal this Winter, please fill out this form which will be... More… If you are a senior, Rockville resident that needs assistance with snow removal this Winter, please fill out this form which will be sent to the Rockville Senior Center staff in efforts to find you a volunteers and or resources that can help you during the season. Less…
If you live in the City of Rockville corporate limits and have a request, problem or comment concerning street trees or park trees,... More… If you live in the City of Rockville corporate limits and have a request, problem or comment concerning street trees or park trees, please send your information to us. The Service Request Coordinator will assign responsibility for your concern to the appropriate staff for action. Please note: requests for routine maintenance such as the pruning of low limbs may take up to 6 months to be completed. For requests concerning tree limbs in electric wires, residents should call Pepco Customer Service at 202-833-7500 and say the word "Agent" when prompted, to request a tree trim. Tree Emergencies: Issues with live wires down, or other life and death emergencies involving Pepco wires, call PEPCO directly at 1-877-737-2662. For fallen trees blocking the road call 240-314-8700 during normal business hours. If there is no answer or if the call is after normal business hours, call the police dispatch at 240-314-8900.Less…
This form is used to check references for applicant eligibility to work with summer playground programs.
Trash, tall grass, exterior maintenance, overcrowding, unlicensed rentals, oversize vehicles.
