HelpLine Utility Form
Please fill out this form to submit a request for help with a utility bill. We are only able to assist residents of Rockbridge County. In the past, RARA required you to provide a cut-off notice. This is not required at this time, but other eligibility requirements apply. Someone from RARA will call you back within 24 business hours to complete the full application.

All other requests (rent, shelter, etc) must be made by phone at (540) 463-6642. Phone applications are accepted Monday-Thursday 9:30am-12pm.

If you need food assistance, the Drive-Thru Food Pantry is open Monday/Wednesday/Thursday from 2:30-4:30pm and Saturday from 10am-12pm. You may also schedule a pick-up order at another time at www.raralex.org.
First and Last Name *
Phone Number *
Email Address
Have you called the RARA HelpLine before? *
Which utility do you need help with? *
Call (540) 463-6642 for all other requests.
Required
Name of Company *
Required
Are you at least 1 month behind on your bill? *
How has COVID impacted you? *
Click all that apply
Required
Is there any time you are NOT available for us to call back? The application process usually takes about 10 minutes.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy