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Move Out Request Form

  1. City of Blaine Move Out Form (Utility Disconnection)

    This form is used to notify the Utility Billing staff of an upcoming move out (sale) of your current property. City staff will use the move out (sale) date as the last day of your service and prepare a final bill within 15 days after your closing. Staff will mail the final bill to the forwarding address provided.


    If your closing is delayed or date changes please contact the Utility Billing staff as soon as possible. Utility Billing can be reached at 763-785-6141, Monday thru Friday, 8:00 AM to 4:30 PM.

  2. Did You:

  3. Existing Garbage Size

  4. Forwarding Address

  5. If known please provide the new owners name and phone number.

  6. Leave This Blank:

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