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Move In Request Form

  1. Move In Form (Start Services)

    This form is used to notify the Utility Billing staff of an upcoming Move In (purchase) of a property. City staff will use the Move In date as the service start date. This form is only for owners of the property. Renters are not allowed to set up services with the City.


    The City provides residential properties in Blaine with Water, Sewer, Storm Water, Garbage, and Recycling services. Residential properties are billed on a quarterly basis, all services are billed on a single statement.


    You will be responsible for the utility services from the date submitted on this form, unless staff is notified before closing or within 10 days after the scheduled closing date. Staff can be reached at 763-785-6141, Monday thru Friday, 8AM to 4:30PM.

  2. Is this a Rental Property?*

  3. Are you the Renter?*

  4. Address of the home purchased.

  5. Services Billed

    Water ($5.50 + Usage)
    Sewer ($60.00/Qtr.)
    Stormwater ($9.00/Qtr.)

  6. Garbage Cart Size*

    Please Select a Garbage Cart Size. Standard recycling cart is 96 gallons.

  7. Alternate Mailing Address

    Must be completed if rental property is selected.

  8. Notice

    You can consider this form accepted after you click submit. Your account will be set up on the date entered above. Staff will only contact you if we have questions with the information provided.

  9. Leave This Blank:

  10. This field is not part of the form submission.