Va. Code § 15.2-3539
The regular election officers, at the time designated in the order authorizing the vote, shall open the polls at the various voting places in their respective localities and conduct the election in such manner as is provided by general law for other elections insofar as the same is applicable. The ballots for each county, including the towns therein, and for each city shall be prepared by the electoral boards thereof and distributed to the various election precincts thereof as provided by law. The ballots used shall be printed and shall contain the following:
"Shall........... (here insert the names of localities proposing to consolidate) consolidate?
[ ] Yes
[ ] No"
In the case of a consolidation agreement offering to the voters the option of choosing between two forms of government, the ballots used shall also contain the following:
"What form of consolidated government shall be adopted?
(Vote for one only)
[ ] City charter, or
[ ] County form"
If the option is between other forms of county government, then the ballots shall be printed accordingly.
Va. Code § 15.2-3539