Form Center Module

Form Center

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.

▼Fire-EMS

  1. Volunteer Application

    To apply for membership with Rockbridge County Fire and EMS, please complete the form. A representative will contact you after you... More…

▼GIS

  1. Report Street Sign Repair

    Report a missing or damaged street sign.

▼IT Forms

  1. Test Form

    Test for thank you screen

  1. Website Intranet Access Request Form

    Request a user id and password to access the Rockbridge County's website intranet. You must be an employee of Rockbridge County to... More…

▼PSA

  1. Application for Employment Rockbridge County Public Service Authority

    Application for Employment for Rockbridge County Public Service Authority

  2. Need to End Service?

    Fill the information out below and we will email you an application and details for payment. If at any time you have a question, please... More…

  3. Need to Start Service?

    Fill the information out below and we will email you an application and details for payment. If at any time you have a question, please... More…

  1. Leak Adjustment Request Form
  2. Need to sign up for a Payment Plan?
  3. Rockbridge County Public Service Authority E-Bill Authorization

    Authorization form to sign up for E-billing.

▼Sheriffs Forms

  1. Citizen Traffic Enforcement Request Form
  2. Law Enforcement Services Survey: How Are We Doing?
  3. Rockbridge County Sheriff's Office Appointment Application

    Application for Employment for Rockbridge County Sheriff's Office

  1. Crime Line
  2. Operation Mending Fences

    Operation Mending Fences is a free Sheriff's Office effort to quickly notify livestock owners when their livestock break free from... More…

  3. Vacation Check Request