Apply for NJ FamilyCare
There are several ways you can apply:
We strongly encourage you to Apply Online.
Easily navigate the new online NJ FamilyCare application with:
♦ New menus, subheadings and smart technology.
Applicants can register to:
♦ Save partially completed applications
♦ View submitted applications, and
♦ Receive future Medicaid notifications electronically.
Download a copy of the English Application.
Download a copy of the Spanish Application.
If you need more information about PDF's, click the "Get Acrobat Reader" button below - it's free.
If you have questions or need help filling out the application, call 1-800-701-0710 (TTY: 1-800-701-0720) for assistance.
Opportunity Information Form (English)
Voter Registration Application (English)
Voter Opportunity Information Form (Spanish)
Voter Registration Application (Spanish)
To view the Privacy Act Statement in English click here.
To view the Privacy Act Statement in Spanish click here.
List of Privacy Officers in English
List of Privacy Officers in Spanish