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).
   • We send the email 180 calendar days prior to the end of the current designation period. 
   • 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 have 90 calendar days to complete and submit the application. 

Application access and deadline schedule

Apply by the deadline. If you do not, you risk the end of your LAL designation and its benefits.
 

Designation Period Start Date	EHBs Access*	EHBs Deadline*
January 1, 2025	July 4, 2024	October 2, 2024
February 1, 2025	August 4, 2024	November 2, 2024
March 1, 2025	September 1, 2024	November 30, 2024
April 1, 2025	October 2, 2024	December 31, 2024
May 1, 2025	November 1, 2024	January 30, 2025
June 1, 2025	December 2, 2024	March 2, 2025

*EHBs auto-generate the access and deadline dates. Please work within these dates to apply.

Request technical assistance prior to the deadline if the deadline falls on a weekend or holiday.

Find resources for your application

Frequently asked questions (FAQ)

RD FAQ

Application aids

• Compliance Assessment Guide
• EHBs: Updating Your Role in Your Health Center (PDF - 301 KB)
• FY25 Technical Assistance (TA) Briefing | FY25 TA Briefing slides (PDF - 469 KB)

Program specific forms

• Cover Page (PDF - 127 KB)
• Form 1A: General Information Worksheet (PDF - 211 KB)
• Form 1C: Documents on File (PDF - 145 KB)
• Form 2: Staffing Profile (PDF - 189 KB)
• Form 3: Income Analysis (PDF - 205 KB)
• Form 3A: Look-Alike Budget Information (PDF - 158 KB)
• Form 4: Community Characteristics (PDF)
• Form 5A: Services Provided (PDF - 195 KB)
• Form 5B: Service Sites (PDF - 249 KB)
• Form 5C: Other Activities/Locations (PDF - 159 KB)
• Form 6A: Current Board Member Characteristics (PDF)
• Form 6B: Request for Waiver of Board Member Requirements (PDF - 164 KB)
• Form 8: Health Center Agreements (PDF - 193 KB)
• Form 12: Organization Contacts (PDF - 131 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)