Form Center

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Building & Grounds

  1. Missing / Damaged 911 Signs

    Use this form to report a missing or damaged Pittsylvania County 911 street sign.

  1. Work Order Request

    Work Order Request

Committee, Board, and Commission Forms

  1. Committee, Board, and Commission Interest Form

    Apply to serve on one of the many Pittsylvania County Volunteer Boards, Commissions, Authorities or Committees.

Fire and Rescue

  1. Volunteer Interest Form

    Fill out the form and select the department that you would be interested in volunteering with. If you aren't sure, select the "I don't... More…

HR

  1. Employee Suggestion Form

    Employee Suggestion Form

  2. Wellness Registration Form

    Wellness Registration Form

  1. Join the Team!

    Interested in working with Pittsylvania County? We are looking for talented, motivated individuals to join our team and move our... More…

IntraNet Forms

  1. News Flash

    News Flash Submissions

Parks & Recreation

  1. Parks and Recreation Program Survey

    The Pittsylvania County Parks and Recreation Department is seeking input on what types of programming and activities our residents are... More…

  1. Youth Sports Roster Form

Pet Center

  1. Pet Center Volunteer Form

    Apply to volunteer at the Pittsylvania Pet Center.

Public Relations

  1. Social Media Usage Survey

    This survey is to help obtain social media demographics in Pittsylvania County. If you take this survey, you will be entered into a... More…

Public Works

  1. COVID-19 Municipal Utility Relief Program

    Pittsylvania County residents under the Pittsylvania County Service Authority must complete this application to be considered for... More…

Small Business Assistance Grant

  1. Application for Small Business Assistance Grants

    Pittsylvania County is administering a $330,000 small business assistance grant program. Businesses are eligible to receive up to... More…