NY MV-104 2022-2024 free printable template

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MV-104 5/22 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 RUSH Page of Day of Week Time Year Number of Vehicles AM PM - DRIVER OF VEHICLE 1 - LICENSE SUSPENDED FOR FAILURE TO REPORT Injured Killed State of License Driver License ID Number...

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NY MV-104 Form Versions

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NY MV-104 2022

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NY MV-104 2011

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NY MV-104 2005

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NY MV-104 2002

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NY MV-104 2000

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How to fill out mv104 2022-2024 form

How to fill out mv104:

01

Begin by gathering all the necessary information, such as the date and time of the incident, location, and the description of the vehicles involved.

02

Use a pen with black or blue ink to complete each section of the form clearly and accurately.

03

Provide your personal information, including name, address, and contact details.

04

Detail the nature of the incident, including any injuries, damages, or property involved.

05

Include information about any witnesses present at the scene.

06

Provide your insurance information, including the company name and policy number.

07

Sign and date the form once you have reviewed and verified all the information is correct.

Who needs mv104:

01

Individuals who have been involved in a motor vehicle accident and wish to report it to the appropriate authorities.

02

Insurance companies and legal professionals who may require the MV-104 form as part of claims or legal proceedings.

03

Law enforcement agencies and traffic authorities who rely on the MV-104 form for their accident reporting and statistical purposes.

Who needs an MV-104 form?
What is the MV-104 form for?
Is the MV-104 form accompanied by other forms?

Who needs an MV-104 form?

A member of a car accident that occurred in the state of New York must submit the completed Report of Motor Vehicle Accident, called MV-104, to New York State Department of Motor Vehicles, if: 1) fatality occurred; 2) someone got injured; 3) private property was damaged for the amount of more than $1000.

What is the MV-104 form for?

The type of car accident, the parties affected by it and its consequences are specified in the MV-104 form.

Is the MV-104 form accompanied by other forms?

This form is not accompanied by other forms. However, you can also attach an additional report to the first page of an MV-104 form. Each additional page of the report should be numbered.

When is the MV-104 form due?

You are obliged to notify the authorities of the traffic accident that happened in the state of New York within ten days.

How do I fill out the MV-104 form?

Comprehensive instructions for completing MV-104 form appear on its second page. In any case, you have to provide the following information: 1) type of vehicle involvement (two-cars, a pedestrian, a bicyclist or other people, a vehicle other than a motor vehicle, an unoccupied vehicle, more than two cars); 2) information for each driver (according to driver license); 3) vehicle damage; 4) accident location; 5) list of names of all people involved in the crash; 6) safety equipment use; 7) list of injuries; 8) insurance information and list of damaged property.

Where do I send the MV-104 form?

The report must be signed by the driver of vehicle 1, except when the driver has suffered an injury and ?a not do that. Original should be sent to:

CRASH RECORDS CENTER, 6 Empire State Plaza, PO Box 2925, Albany NY 12220-0925.

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What is mv104?

MV104 is a form used by the New York State Department of Motor Vehicles that must be completed by drivers who have been involved in an accident. The form is used to document the details of the accident, such as the date, time, and location of the incident, and information about the vehicles and drivers involved.

Who is required to file mv104?

The MV-104 form is typically filed by the investigating police officer who responded to the scene of the accident.

How to fill out mv104?

1. Locate the MV-104 form. This form is a New York State DMV form used to report a motor vehicle accident. It is available online at the DMV website: https://dmv.ny.gov/forms/mv104.pdf. 2. Read the instructions carefully and fill out the form completely. 3. Enter the date, time, and location of the accident. 4. Fill out the names and contact information of the drivers involved in the accident. 5. Enter the license plate numbers, vehicle year, make, and model of all vehicles involved. 6. Enter the insurance information of all drivers involved. 7. Describe the accident and list any injuries, deaths, or property damage. 8. Provide any additional information, such as witness statements or photographs. 9. Sign and date the form. 10. Submit the form to the New York DMV within 10 days of the accident.

What is the purpose of mv104?

The purpose of the MV-104 form is to provide law enforcement agencies with information about motor vehicle accidents in New York State. It includes information about the parties involved in the accident, the vehicles, any damage or injuries, and other pertinent information. The form is used to complete accident reports and to support the investigation of an accident.

What information must be reported on mv104?

The MV104 form is a New York State Department of Motor Vehicles form used to report information on a vehicle collision. It must include information about the location of the collision, the date and time of the collision, the vehicles involved, the drivers involved, the injuries sustained, a narrative description of the collision, and other pertinent information.

When is the deadline to file mv104 in 2023?

The deadline to file an MV-104 form in 2023 is April 30th, 2023.

What is the penalty for the late filing of mv104?

The penalty for the late filing of an MV104 form with the New York State Department of Motor Vehicles is a fine of up to $50.

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