MV-104 - Civilian Accident Report. - whitehall police department 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the accident date, including the month, day, and year. Ensure accuracy as this is crucial for record-keeping.
3. 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.
4. Indicate the number of vehicles involved and any injuries sustained. Use the provided fields to describe vehicle damage and insurance details.
5. Complete the accident location section by specifying the county, street names, and any permanent landmarks nearby for clarity.
6. Utilize the accident diagram section to illustrate how the accident occurred. Circle one of the diagrams or draw your own if necessary.
7. 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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