Request Child Care Form

There are several ways for families to receive free child care referrals.

  1. Call (866) 543-7852 option 2 for our customized referral service
  2. Complete and submit the online form below
  3. Conduct your own search, enter your search criteria to access child care options 24/7 via Child Care Aware of Virginia’s child care referral database.

Once completed and submitted, this online form will be sent to our Child Care Referral Specialist. Once the form is received, you will be contacted within one business day.  You will receive an email with information on child care programs that meet your needs along with additional information on  choosing a quality child care site.

You Should Know…Child Care Aware of Virginia provides information about child care programs, not recommendations. We do not endorse, regulate, or monitor child care. Parents are encouraged to visit and interview providers before making a final decision about their child care.

To learn more about the types of care and license types in Virginia visit Child Care Types of Care

All fields marked with “*” must be completed before this form can be submitted.

Child Care Search Form

  • Search Criteria

  • Demographic Information

    FAMIS is Virginia's health insurance program for children. It makes health care affordable for children of eligible families.