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    • Column 1

      • Board of Supervisors
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      • Local Elected Officials
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      Column 2

      • Departments
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      •  Clerk of the Circuit Court
      •  Commissioner of the 
         Revenue
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      •  Community Development
      •      Building Inspections
      •      Planning & Zoning
      •  Cooperative Extension
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      •  Economic Development

      Column 3

      • Departments
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      •   Procurement
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  • CountyServices
    • Column 1

      • About
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      •   Directions to Palmyra
      •   Fluvanna Quick Facts
      •   Fluvanna History
      •   Public Facilities Map
      •   Privacy Policy
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          Guide
      • EMS Billing
      • Solid Waste & Recycling
      • Business Directory

      Column 2

      • Human Services
      •   Fair Housing
      •   Blue Ridge Health District
      •   Rx Card Program
      •   Senior Resources
      •   Social Services
      •   Veterans Services
      • Library
      • Public Safety
      •   Emergency Services
      •   Emergency Alert System
      •   Sheriff's Office

      Column 3

      • Recreation
      •   Parks and Trails Directory
      •   Recreation Programs
      • Find Fluvanna
      • Schools
      • Leadership Development Program
      • Volunteer Opportunities
      • COVID-19 Information and Resources
  • Focus onBusiness
    • Column 1

      • Business Environment
      •   Find Fluvanna
      •   Find Property
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      Column 2

      • Economic Development
      • Procurement
      •   Bids and RFPs
      • County Code
      • Forms, Permits, & Applications
      • Submitted Zoning
        Applications

      Column 3

      • County Projects Directory
      • Columbia Area Renewal Effort (CARE)
      • James River Water Authority
      • Zion Crossroads Water & Sewer System
      •   Water & Sewer Ordinance
  • WelcomeVisitors
    • Column 1

      • About
      •   2016 Report to Citizens
      •   Directions to Palmyra
      •   Fluvanna Quick Facts
      •   Fluvanna History
      •   Fluvanna Interactive Map
      •   Privacy Policy
      •   County Calendar
      •   Public Facilities Map
      •   Community Resources
          Guide
      • Business Directory
      • Public Hearings

      Column 2

      • Community
      •   Arts & Culture
      •   Community Events
          Calendar
      •   Community Service Award
          Nomination Form
      •   Fluvanna Volunteers
      •   Photo Submission Form
      •   Senior Resources
      •   Fluvanna SPCA
      • Library
      • Public Safety
      •   Emergency Services
      •   Emergency Alert System
      •   Sheriff's Office

      Column 3

      • Parks and Recreation
      •   Parks and Trails Directory
      •   Pleasant Grove Park
      •   Recreation Programs
      • Schools
      • Find Fluvanna
      • Census 2020
      • COVID-19
  • I WantTo...
    • Column 1

      • Be Informed
      •   Agendas and Minutes
      •   County Calendar
      •   Emergency Alert System
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      Column 2

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      •   County Surplus For Sale
      •   Court Information
      •   Documents & Reports
      •   Permits & Forms
      •   FAQs
      •   Job Openings
      •   Parks & Rec Registration
      •   2023 Holiday Schedule
      •   Submitted Zoning  
          Applications
      • Reserve Commercial Kitchen

      Column 3

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      •   Boards and Commissions
      • Volunteer
      •   Community Volunteer
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      • Vote
      •   Find My Voting Location
      •   Who is My Legislator?

01. Administration Policies and Forms

Policy 1.1 - Board, Commission, & Committee Member Attendance

Policy 1.2 - Community Service Award Program

Policy 1.3 - EMS Cost Recovery Program

Policy 1.4 - Historic Courthouse Use

Policy 1.5 - Proclamations

Policy 1.6 - Resolutions

Policy 1.7 - County Records Management

Policy 1.8 - FOIA Rights and Responsibilities

Administration Forms

Web Form 1.2 - Community Service Certificate Webform

Web Form 1.8 - Freedom of Information Act Webform

Photo Submission and Release Webform

PDF icon Form 1.3 - Ambulance Fee Waiver Request (2021) (207 KB)
PDF icon Form 1.4 - Historic Courthouse Use Application (117 KB)
PDF icon Form 1.8 - Freedom of Information Act Request (130 KB)
PDF icon Office Move Request Form (147 KB)
PDF icon Photo Submission and Release Form (66 KB)
PDF icon EMS Cost Recovery Trifold Brochure (2021) (2 MB)
PDF icon EMS Cost Recocery FAQs (2018) (159 KB)
PDF icon EMS Cost Recovery Notice of Privacy Practices (2021) (220 KB)
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Policies & Forms
  • 01. Administration
  • 02. Personnel
  • 03. Finance
  • 04. Procurement
  • 05. Information Mgmt
  • 06. Safety Management
  • 07. Facilities, Utilities, & Vehicles
  • 08. Community Development
  • 09. Parks & Recreation

Contact Information

P.O. Box 540
132 Main St.
Palmyra, VA 22963

Telephone: (434) 591-1910 
Fax:  (434) 591-1931

Office Hours: 8 am - 5 pm 
Monday-Friday, excluding Holidays

For Verification of Employment (VOE): Email 

 

 

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Alert System for Fluvanna County

P.O. Box 540 | 132 Main Street | Palmyra, VA 22963 | (434) 591-1910

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