Form Center Module

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.

▼Public Works

  1. Adopt A Stream Trash Tally Sheet

    After you have completed a stream cleanup, please fill out the form below regarding the number and types of trash you collected. This... More…

  2. Apply for Backdoor Recycling and Refuse Service
  3. General Complaint - Streets and Sidewalks
  4. Individual Weed Warrior Volunteer Hours Reporting Form
  5. Pavement Removal Rebate Application

    Application to receive a rebate for pavement removal and replacement with native plants or sod.

  6. Plog Rockville Pledge
  7. Rain Barrel Rebate Application

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

  8. Report a Missed Collection

    To report a missed collection.

  9. Report Multiple Streetlight Outage or Problem
  10. Tree Canopy Rebate Application

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

  1. Adopt-A-Stream Cleanup Scheduling Form
  2. Conservation Landscaping Rebate Application

    Application to receive a rebate for conservation landscaping (native plants).

  3. General Complaint - Water
  4. Lost or Found Carts
  5. Permeable Paver Retrofit Rebate Application

    Application to receive a rebate for replacing existing impervious surface with permeable pavers from the City of Rockville.

  6. Plog Rockville Reporting Form
  7. 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…

  8. Report a Streetlight Outage or Problem
  9. Request a Scheduled Collection
  10. Unsafe Traffic Report

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