Submit a new request

Tell us what you need. HRA routes it to verified partners.

Dashboard/ Submit a request

Submit a new request

Tell us what you need. HRA will route it to verified partners. Don't sweat the form — you can also email [email protected] with a photo, a sticky note, anything.

What do you need?

A short, plain-language description is enough.

Category *

Medications Medical Supplies Medical Equipment PPE Cold chain Personnel Logistics Facilities & power Cash grant Other

Pick everything that applies.

Item or need *

Quantity

Needed by

Acceptable substitutes

Why this matters / context for partners

How urgent is it?

Be honest. Critical isn't a magic word - it just affects routing priority.

Priority

Critical High Medium Low

For which response?

Active response, SE US Not tied to an incident

Delivery & receiving

Where and when partners should drop it off. Skip what you don't know.

Receiving location

Receiving window

Receiving contact

Phone

Special handling notes

We auto-save drafts every 30 seconds.

Don't have time to fill this out?

Forward an email, send a photo of a handwritten list, or just describe what you need. We'll create the request for you.

[email protected]

Or call HRA ops: +1 800 555 0123 (24/7 during active responses)

What happens after you submit

HRA ops reviews within 2 hours (24/7 during incidents).
We publish to the partner network and invite known partners to claim.
A verified partner pledges to fulfill. You see them in My Requests.
Partner moves to In-progress, then Completed. You don't need to chase — we'll nudge them.

Working off-platform?

Send anything - a photo, a forwarded email, plain text - to [email protected]. HRA ops will route it in.

Send to HRA ops