Covering Children and Pregnant Women

with Affordable Health Insurance

A Service of the Commonwealth of Virginia









How to Apply

Mail or Fax

Applications can be downloaded from this site and mailed, faxed or scanned and resubmitted online.

Link to printable PDF of FAMIS and FAMIS MOMS application 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.

Site Map | Privacy Statement

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.