Federal employees needing a replacement ID card may complete the electronic form below or call your Blue Cross and Blue Shield Customer Service Center at (800) 245-1609. You must provide your phone number in case we need to verify information. Please allow 2 weeks for delivery.

	Member Name:	*
	ID Card Number/ R Number:	*
	Phone:	*
	Street address 1:	*
	Street address 2:
	City:	*
	State:	*
	Zip:	*
	Who Needs the Card?	*
	*indicates a required field

All information is considered confidential and will not be given to any third parties without your consent. Read our Privacy Statement.