Forms
Below you will find a list of forms including application forms, request forms, and forms for reporting issues (such as potholes).
- Accessible Customer Service Feedback Form
- Busking Licence Application
- Bylaw Complaint
- City of Brockville Communications and Engagement Survey
The City of Brockville is reviewing how we communicate with residents across a range of channels, including our website, social media, and local media such as radio and newspapers. Your feedback will help us understand what’s working well, where we can improve, and how we can better share information with our community. This survey will take approximately 3–5 minutes to complete.
- City of Brockville Flag Policy Review Survey
The City of Brockville is seeking public input as part of a review of the Community Flag Raisings and Flag Protocol Policy to ensure it is clearly defined and reflects community values and municipal responsibilities.
- Commemorative Bench Program
- Commemorative Tree Planting
- Council Proclamation and Flag Raising Request Form
- Delegation Request Form
- Door to Door Sales/Service and Transient Trade Licence Application
- Excessive Speed Reporting
- Facility Use Application - Indoor
- Facility Use Application - Outdoor
- Final Report for Festivals and Events Grant Recipients
- Future Traffic Configuration for Bartholomew St.
The Public Works and Transportation Divisions of the City are seeking feedback regarding the future configuration of Bartholomew St. that will follow the reconstruction project. Once feedback is compiled, it is summarized and reported to City Council through the General Committee for consideration. City Council will then approve the street configuration that will be implemented on Bartholomew Street.
- Insurance Claims form
- Interested in Brockville?
- Missing or Broken Street Sign
- Movement of Structures, Oversized or Overweight Loads
- Park Issue Report
- Photo/Video Release Form
- Property Ownership or Mailing Address Change
- Proudly Made in Brockville Registration Form
- Refreshment Cart Application
- Report Railway Crossing Delay
- Reporting a Pothole
- Resumé Submission
- Seasonal Docking Application
- Seasonal Islands Camping Lottery Application
- Seasonal Islands Mooring Pass Application
- Sidewalk Closure Application
- Staff Contact Form
- Street Debris Report
- Street Light or Traffic Light Reporting
- Temporary Banner Application
- Temporary Road Closure Application
- Tree Concern Report
- Volunteer Application Form
- Website Feedback Form
- Winter Ice Time Application - Arenas and Facilities
- Zoning Complaint Form