Form Center

By signing in or creating an account, some fields will auto-populate with your information.

Direct Payment Form

  1. (Fill in your address)
  2. The authority is to remain in full force and effect until the City has received written notification from me of its termination in such time and manner as to afford the City a reasonable opportunity to act on it.
  3. Submission Instruction
    Attach a voided check and mail form to: City of Blaine, 10801 Town Square Drive NE, Blaine, MN 55449
  4. Notice
    Automatic withdrawal will take up to one month to take effect. You will see BANK PAYMENT in the upper right corner of your statement once it has been applied to your account. We will draft your account on the last business day of the month in which your statement was sent.
  5. Leave This Blank: