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.

▼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.

▼HR

  1. Employee Suggestion Form

    Employee Suggestion Form

▼IntraNet Forms

  1. News Flash

    News Flash Submissions

▼Pet Center

  1. Pet Center Volunteer Form

    Apply to volunteer at the Pittsylvania Pet Center.

▼Public Works

  1. COVID-19 Municipal Utility Relief Program

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

▼Reassessment

  1. Property Owner Information Request

    Fill out the property owner information request form to ensure that your home is fairly valued for the 2022 reassessment.

▼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…