First Responder Forms

  1. Accountability Tag Request Form
  2. Add Delete Vehicle Insurance Form
  3. Auto Accident Form
  4. Background Check and Driving Record Release Form
  5. Driving Criteria Document
  6. FOIA - Audio Request Form
  7. Hartford Claim Form
  8. Injury Claim Form
  9. Injury Claim Instructions
  10. Property and Equipment Loss Claim Form
  11. Radio Request Form
  12. Volunteer Application Form - 2022
  13. Volunteer Reimbursement Form

Contact Us

  1. Tracy M. Fairchild, Director

    34 Communications Ln

    P.O. Box 500

    Rustburg, VA 24588

    Emergency

    911

    Non-Emergency

    (434) 332-9574

    Email

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