Retaining Wall Forms

RWIP1: Initial Extension of Time Request
Use this form to request an initial time extension for completing repairs of an unsafe retaining wall.
RWIP1 Form - Rev. 5/15


RWIP2: Additional Extension of Time Request

Use this form to request an additional time extension for completing repairs of an unsafe retaining wall.
RWIP2 Form - Rev. 5/15


RWIP3: Notification of Unsafe Conditions

Use this form to report any unsafe condition in a retaining wall. It must be submitted by a Professional Engineer prior to the submission of an unsafe inspection report.
RWIP3 Form - Rev. 5/15


RWIP6: Retaining Wall Inspection Program Intake Form

This form must be included when you file a report
RWIP6 Form - Rev. 5/15


RWIP11: Notice of Violation Response

This form must be completed and submitted to the Department if you believe the DOB Retaining Wall Violation issued to your property was in error. Please ensure the RWIP 11 form has been signed and you have included a copy of your property survey, with several photographs depicting the location and height of the retaining wall.
RWIP11 Form - Rev. 4/20


TR16: Technical Report: Periodic Inspection of Retaining Walls

Must be accompanied by the Engineer’s report.
TR16 Form - Rev. 5/15
TR16 Instructions