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Description of ny form report accident
MV-104 5/11 PAGE 1 of 2 HERE FOLD New York State Department of Motor Vehicles Use only for accidents that happen in New York State REPORT OF MOTOR VEHICLE ACCIDENT www. Dmv.ny. gov BEFORE COMPLETING THIS FORM READ THE INSTRUCTIONS IN SECTION A ON PAGE 2 DO NOT FORGET ACCIDENT DATE Accident Date Month Day o Page of Day of Week Time Year RUSH - DRIVER OF VEHICLE 1 - LICENSE SUSPENDED FOR FAILURE TO REPORT Number of...
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