Form Center

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

  4. 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. Incident Investigation Form
  3. Risk Management Insurance Review
  4. Supervisor First Report of Injury

    Use this form to file a Supervisor First Report of Injury