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Feedback Form

2. Please complete this online form to submit general requests / feedback to Roanoke Valley Resource Authority.
6. Name:*
8. Street Address:*
10. City:
12. State:
13. Zip Code:
15. Home Phone Number:*
17. Daytime Phone Number:*
19. Email Address:*
23. Nature of Feedback*

    Please specify:

    1. General Inquiry
    2. Request for Service
    3. Complaint
24. Topics*

    Please specify:

    1. Household Hazardous Waste
    2. Recycling
    3. Billing
    4. Acceptable Waste
    5. Other
26. Comments:
28. Effective July 1, 2002, HB731 of the 2002 Virginia General Assembly updated the Virginia Freedom of Information Act. Email subscribers receiving information from a public body may, at their request, be exempt from having their email address given out should the email list be requested under the Freedom of Information Act (FOIA). If you would like to be exempted, please call (540) 857-5050.
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30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit

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