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The MV-104 Form is required after a motor vehicle accident if a vehicle sustains damages that amount to more than $1,000 or if anyone involved is injured in any way. If one or both of these conditions are met, the MV-104 Form should be filed no more than ten days following the accident.
Can I file an MV-104 online in NY?
Obtain Online: One of the easiest ways to get an MV-104 form is by downloading it directly from the New York State Department of Motor Vehicles. Go to the NYSDMV website and download a PDF of the form here: . After the form is completed, simply print and mail it in.
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MV-104 (5/11) PAGE 1 of 2
PEDESTRIAN/BICYCLIST/OTHER PEDESTRIAN ACTION. 1. Crossing, With Signal. 2. Crossing, Against Signal. 3. Crossing, No Signal, Marked Crosswalk.
SECTION A. You must report within 10 days any accident occurring in New York State causing a fatality, personal injury or damage over $1,000 to the property
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