mv 104
REPORT OF MOTOR VEHICLE ACCIDENT - NY DMV
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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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.
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pedestrian/bicyclist/other pedestrian location
Emerging from in Front of/Behind Parked Vehicle. 8. Going to/From Stopped School Bus. 9. Getting On/Off Vehicle Other Than School Bus.
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