Page Categories

FY19 Budget

Supporting Documents

Online Boards and Commissions Application

Applicants are considered as vacancies occur.
There may not be a vacancy at the time you submit your application.
Your application will be kept on file for three years.

Membership information for each Board, Commission, or Committee may be found here.

Before completing the application, please review the membership requirements for the Board, Commission, or Committee for which you are interested.
Applicants who do not meet membership requirements will not be put forward for consideration.

Fluvanna County does not discriminate on the basis of race, color, national origin, sex, religion, age or disability in employment or the provision of services.

Election District:
Yes, this is a trick question and easy to answer.
We ask it because spam bots are not smart enough to answer correctly, while humans are.

Photo Submission Form

Whether you are an amateur shutterbug or a seasoned professional photographer, let Fluvanna County showcase your best photography!

We are always looking for fresh photos taken within the county for use on the Fluvanna County website (featured or background), on our social media pages, and in our publications.

We are especially interested in photos that depict some aspect of why our county is, “A great place to live, learn, work, and play!”

By signing below, I allow Fluvanna County ("County") to reprint and/or reuse the photo(s), which I have submitted herewith, in various media formats for an unlimited amount of uses over an unlimited time period. Use of the photograph(s) is granted at no charge to the County. The County has sole discretion to crop, edit or otherwise enhance the images.

I certify that the images submitted are my original work and if copyrighted that I am the sole copyright owner. Copyright of the images remain the property of the photographer. I also attest to have consent of anyone clearly depicted in images submitted, and agree to provide proof of consent upon request.

By my signature, I also agree to indemnify and hold harmless the County from and against all claims, actions, proceedings, damages, losses, liabilities, and costs that may arise from or related to any infringement on any intellectual property rights or other rights of a third party.

I agree: *

If submitter is under 18 years of age, a parent or guardian must sign below. I, the undersigned, being parent or guardian of the minor whose name appears above, hereby consent to the foregoing conditions and warrant that I have the authority to give such consent.

I agree:
PHOTO CREDITS

 

Do you want to be credited as the photographer when we use your photo? *
PHOTO #1:

 

Files must be less than 2 MB.
Allowed file types: gif jpg png.
PHOTO #2:

 

Files must be less than 10 MB.
Allowed file types: gif jpg png.
PHOTO #3:

 

Files must be less than 2 MB.
Allowed file types: gif jpg png.
PHOTO #4:

 

Files must be less than 2 MB.
Allowed file types: gif jpg png.

Thank you for your submission!

Yes, this is a trick question and easy to answer.
We ask it because spam bots are not smart enough to answer correctly, while humans are.

County Surety Policy

Supporting Documents

Form 1.2 - Community Service Certificate Nomination Webform

Program Purpose - To formally recognize and award individuals or groups who, by their personal actions, volunteer efforts, and civic or community activities have made a positive impact in Fluvanna County.

Section 1 - Individual(s) or Group Being Nominated
Please tell us about the Individual(s) or Group that you would like to nominate for a Community Service Award.
Date of Action
Section 2 - Description of Acts/Service
(Acts or services being recognized must have been performed in Fluvanna County.)
Recognition Categories (check all that apply):
Please provide detailed factual information about the act of service, including why the nominee's efforts stand out and how the nominee's efforts exemplified the recognition category(ies) selected. Please attach additional sheets or supporting documentation, as needed.
Files must be less than 2 MB.
Allowed file types: gif jpg png pdf doc docx.
Section 3 - Person Making the Nomination
Your relationship to nominee(s)?
Date of Submission
Yes, this is a trick question and easy to answer.
We ask it because spam bots are not smart enough to answer correctly, while humans are.

FAN Mail Submission Form

Submitting information about an event does not guarantee that event will be publicized in FAN Mail.

Please provide a brief description of the event you would like to publicize.
Files must be less than 1 MB.
Allowed file types: jpg pdf.
Yes, this is a trick question and easy to answer.
We ask it because spam bots are not smart enough to answer correctly, while humans are.

Senior Resources - Organization Submission Form

Does Your Organization Provide Resources Or Services For Seniors?

Please use the form below to submit information about your organization's information on the Fluvanna County Senior Resources pages.

Yes, this is a trick question and easy to answer.
We ask it because spam bots are not smart enough to answer correctly, while humans are.

Thomas Jefferson Health District - County Health Rankings

Supporting Documents

Public Facilities Map

Supporting Documents

Report to Citizens

Supporting Documents

Pages