Non-Emergency Work Order Request

Brainerd HRA Work Order Request Form
Please note: If this Work Order is an emergency, please do not fill out this form; Call the HRA Emergency Dispatch Number: 218-839-0055

Tenant:*

Address:*

Apt #:

Home Phone Number:

Work Phone Number:

Cell Phone Number:

Do we have permission to enter your unit if you are not home: Yes or No

Work Order Description: Please be very specific as to what the problem is:

Work Orders that are sent in by email will ONLY be checked during office hours:
Monday thru Thursday, 7:00 a.m. to 4:30 p.m.
(Note the date and time sent are automatically populated upon submission)