Covering Children and Pregnant Women
with Affordable Health Insurance
A Service of the Commonwealth of Virginia
Applications can be downloaded from this site and mailed, faxed or scanned and resubmitted online.
Return your completed application with any required documents by mail to:
FAMIS
P.O. Box 1820
Richmond, VA 23218-1820
- or -
For faster receipt, return your completed application with any required documents by fax:
1-888-221-9402
- or -
Scan the completed application with any required documents and submit online through the "Member Services" option at the top of the page.
Toll Free: 1-866-87FAMIS (1-866-873-2647) • TDD: 1-888-221-1590 • Fax: 1-888-221-9402
8:00 am to 7:00 pm Monday - Friday
9:00 am to 12:00 pm Saturday
Translation services are also available
or contact your local Department of Social Services.