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Discolored water reporting form.

  1. Trouble submitting this form?

    If you are having difficulty submitting this form, go to:
    Submit a Discolored Water Report

    If the problem persists, please email

  2. Contact Information
  3. Location Information
  4. Description
  5. Upload photo(s)?*
  6. Add another photo?*
  7. Add another photo?*
  8. Add another photo?*
  9. Would you like to sign up for Emergency Notifications from the City of Blaine?*
  10. Leave This Blank:

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