HelpLine Utility Form
**The HelpLine will be closed starting Dec 18th and will reopen on Jan 4th. We will not be able to assist with any new applications during that time.**
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, including having a past due bill. 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
Sign in to Google
to save your progress.
First and Last Name
Have you called the RARA HelpLine before?
I don't know
Which utility do you need help with?
Call (540) 463-6642 for all other requests.
Name of Company
Buena Vista Water
Rockbridge County Water
Are you at least 1 month behind on your bill?
Bills must be past due for us to assist.
I don't know
How has COVID impacted you?
Click all that apply
Lost job or hours decreased
COVID hasn't impacted my income or expenses
Is there any time you are NOT available for us to call back? The application process usually takes about 10 minutes.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service