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  1. Click ‘Get Form’ to open the mv104a form in the editor.
  2. Begin by entering the accident date and time in the designated fields. Ensure you select the correct month, day, and year.
  3. Fill in the details for Vehicle 1, including the driver's license ID number, name, address, and date of birth. Make sure all information matches what is printed on their license.
  4. Proceed to Vehicle 2 and repeat the process for its driver’s information. Include vehicle registration details such as year, make, and plate number.
  5. Complete sections regarding damages and injuries. Indicate if there were any fatalities or injuries involved in the accident.
  6. Utilize our platform's drawing tools to create an accident diagram if necessary. Number each vehicle accordingly.
  7. Review all entered information for accuracy before saving or submitting your completed form.

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mv104 cover sheet

MV-104: Report of Motor Vehicle Crash (PDF) - NY DMV

Before completing this form, read the instructions on page 2. Use only for crashes that happen in New York State. Print or type all information. Use black ink.Read more

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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.Read more

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