Form List

Frederick County uses the form below for email communications instead of traditional links within the pages due to the use of software on the internet which collects mail addresses from web pages to send unsolicited commercial email, or "spam". To better assist you, fields marked with an asterisk are required.

1

Your Name

 *

Your Name

2

Your Email

 *

Your Email

3

Your Phone Number

Your Phone Number

4

Subject

 *

Subject

5

Message

 *

Message

The County of Frederick respects your privacy. Other than as required by the Virginia Freedom of Information Act or as may be reasonably anticipated in connection with the conduct of the County business to which your communication relates, Frederick County does not disclose, sell, share or trade any information from communications sent to the County. Please note, though, that any written communication, including any e-mail message, sent to a public official and/or employee of Frederick County becomes a public document and may be subject to the Virginia Freedom of Information Act. This means that a copy of any such message could be requested by a citizen, or a member of the media, may be subject to disclosure, and if disclosed could be reprinted and/or used in a public forum by the requestor.

If you need immediate assistance or have questions about the Virginia Freedom of Information Act and its impact on this communication, please call (540) 665-5600.

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

Page 1 / 1