Lake Monticello Police Department operates primarily in that community. Volunteer fire and rescue squads serve throughout the county providing an exceptional level of service. Stations affiliated with the other national networks can be received over the air throughout the county. Cable television service provided by Adelphia Communications is available at Lake Monticello and in some other areas of the county. Utilities Electricity is provided by Virginia Power or the Central Virginia Electric Cooperative.
Telephone service is available through Sprint and cellular coverage is also available.
Public water and sewer service is available at Lake Monticello. Public water service is available in portions of Fork Union and Palmyra. Numerous health care professionals operate within the county covering a wide range of specialties including Pediatric, Family, and Internal Medicine. Dental, eye, physical therapy, counseling, pharmacy and veterinary services are also available. Pegasus Flight Operations also covers the county providing helicopter transport in emergency medical situations.