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MV-104 - Civilian Accident Report. - whitehall police department 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by entering the accident date, including the month, day, and year. Ensure accuracy as this is crucial for record-keeping.
- Fill in the details of the drivers involved. Include their names, addresses, dates of birth, and license information exactly as they appear on their licenses.
- Indicate the number of vehicles involved and any injuries sustained. Use the provided fields to describe vehicle damage and insurance details.
- Complete the accident location section by specifying the county, street names, and any permanent landmarks nearby for clarity.
- Utilize the accident diagram section to illustrate how the accident occurred. Circle one of the diagrams or draw your own if necessary.
- Finally, ensure that all required fields are filled out completely before signing at the bottom of page one. If unable to sign due to injury or death, a representative may sign on behalf of the driver.
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