Skip to Main Content
Do Not Show Again
Official results for Rockville's 2023 election.
Welcome to the City of Rockville Form Center. If your form requires a response, we will contact you as soon as possible.
Select a Category
Community Planning and Development Services
Housing and Community Development
Recreation and Parks
Report a Concern
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.
MVA Flagging Form
Sign in to Save Progress
This form has been modified since it was saved. Please review all fields before submitting.
All employees and volunteers who drive a City owned/leased vehicle or private vehicle on official City business must complete this form. Employees and volunteers who possess a driver’s license that is not issued by the State of Maryland must submit with this form an original printout of their driving record.
The information on this form will be used by the Department of Human Resources in accordance with the City’s Driver’s License Check and Flagging Program. For additional information concerning this program, contact the Department of Human Resources at 240-314-8470.
Supervisor will complete all information below and return this form to the Department of Human Resources at City Hall. Please print or type clearly.
Date of Birth
Date of Birth
Driver’s License Number
Please do not include dashes
-- Select One --
Leave This Blank:
Receive an email copy of this form.
This field is not part of the form submission.
* indicates a required field
Slideshow Left Arrow
Slideshow Right Arrow