Apply for Look-Alike Renewal of Designation (LAL RD)

Jump to:

• How to apply
• Resources for your application
• Technical assistance
• Contact

How to apply

When it’s time for you to apply:

1. Your points of contact will receive an email from HRSA Electronic Handbooks (EHBs).
   • Complete the BPHC Contact Form if your contacts do not receive an email to apply.
2. Your Authorizing Official (AO) must submit through EHBs. You must submit your application by your EHBs submission deadline. If you do not, you risk the end of your LAL designation and its benefits.
3. Request technical assistance prior to the deadline.

Application access and deadline schedule

Period of Designation End Date	EHBs Access*	EHBs Deadline*
January 31, 2026	July 31, 2025	October 29, 2025
February 28, 2026	July 31, 2025	November 19, 2025
March 31, 2026	July 31, 2025	December 10, 2025
April 30, 2026	July 31, 2025	December 30, 2025
May 31, 2026	July 31, 2025	January 20, 2026

* Look-Alikes with a December 31, 2025 period of designation end date will receive a one-year extension and will instead submit a Look-Alike Annual Certification. 

Find resources for your application

Frequently asked questions (FAQ)

• RD FAQ

Application aids

• Compliance Assessment Guide
• LAL RD Applicant Technical Assistance Webinar (PDF - 425 KB)
• EHBs: Updating Your Role in Your Health Center (PDF - 301 KB)

Program specific forms

• Cover Page (PDF - 143 KB)
• Form 1A: General Information Worksheet (PDF - 97 KB)
• Form 1C: Documents on File (PDF - 150 KB)
• Form 2: Staffing Profile (PDF - 167 KB)
• Form 3: Income Analysis (PDF - 210 KB)
• Form 3A: Look-Alike Budget Information (PDF - 135 KB)
• Form 5A: Services Provided (PDF - 148 KB)
• Form 5B: Service Sites (PDF - 164 KB)
• Form 5C: Other Activities/Locations (PDF - 117 KB)
• Form 6A: Current Board Member Characteristics (PDF - 173 KB)
• Form 6B: Request for Waiver of Board Member Requirements (PDF - 204 KB)
• Form 8: Health Center Agreements (PDF - 158 KB)
• Form 12: Organization Contacts (PDF - 127 KB)

Data and mapping

Health Center Program GeoCare Navigator

Find technical assistance

• Subscribe to the weekly Health Center Program Primary Health Care Digest
• Health Center Program Compliance Manual
• Uniform Data System (UDS) Program Assistance Letters
   

Contact us

If you have a question about:	You can reach us at:
Your application	BPHC Contact Form Under Look-Alike Designation, select Renewal of Designation (LAL-RD) Add 'BPHCAnswers@hrsa.gov' to your address book to make sure you receive our reply email.
EHBs	BPHC Contact Form Under Technical Support, select EHBs Tasks/EHBs Technical Issues Call 877-464-4772 (select option 1) 8 a.m. – 8 p.m. ET, Monday – Friday (except federal holidays)