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BICYCLE ACCIDENT REPORT (NOT INVOLVING A MOVING MOTOR VEHICLE) 2025

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The document is a Bicycle Accident Report form for incidents not involving moving motor vehicles in New York State. It requires detailed information about the accident, including the date, location, involved parties, and injury descriptions. The report must be completed by the bicyclist or their guardian if they are unable to do so due to age or injury. It must be submitted to the Department of Motor Vehicles within ten days of the accident.

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Click ‘Get Form’ to open the BICYCLE ACCIDENT REPORT in the editor.
Begin by filling in the accident date, time, and day of the week. Ensure you use black ink for clarity.
Enter your name and address details accurately. Include your date of birth for identification purposes.
In the ACCIDENT DESCRIPTION section, provide information about the nearest intersecting street and whether police investigated the scene.
Detail the accident location, including road conditions and any traffic controls present at the time of the incident.
Complete the INJURY DESCRIPTION section by indicating the severity and type of injuries sustained, if any.
Finally, review all entries for accuracy before signing and submitting your report as instructed on page 2.

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Versions	Form popularity	Fillable & printable
2022	4.8 Satisfied (237 Votes)
2016	4 Satisfied (47 Votes)
2011	4 Satisfied (54 Votes)

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Should I go to the doctor after a bike accident?

Even if you suffered less serious injuries or do not believe you are hurt, you must be examined by a doctor within 72 hours of your bicycle accident.

What to do immediately after a bike accident?

Wait for the Police to Arrive. Dont Argue or Attempt to Negotiate With the Driver. Get Your Version of Events into the Accident Report. Obtain Driver and Witness Contact Information After the Accident. Document How the Bike-Car Accident Happened. Document Your Bike Accident Injuries. Preserve Evidence of the Bike Accident.

What happens if you hit a cyclist with your car in Canada?

Regardless of fault, if a cyclist is injured by a car, they are entitled to make a claim for automobile insurance benefits. These benefits can cover medical care, rehabilitation, lost income, and attendant care. If you have your own insurance, it will fund these benefits if youre injured in an accident.

What can happen in a bike accident?

The majority of long-term disabilities from bike accidents have to deal with head injuries. And 60% of deaths are caused by head injuries. The neck isnt as common of an injury area as many people would think. While neck injuries can and do occur, theyre far less common than head injuries and other injuries.

Is the driver always at fault when hitting a cyclist?

They had a duty to share the road and give the bicycle rider the right of way, and they bdocHubed that duty. If that negligent action directly resulted in harm or losses to the cyclist, the driver would be considered at fault and legally liable.

Can I file MV-104 online NY?

A completed MV-104 Form can be submitted to the DMV online, mailed in, or dropped off in person.

Who is at fault in a bike vs car?

Many people might assume the bicycle rider is at fault if they hit a car, but that is not always the case. Often, it is the vehicle drivers faulteither the vehicle driver hit the bicyclist or caused the bicyclist to hit the vehicle. However, sometimes the bicyclist could be at fault.

Why aren t cyclists insured?

It is accepted that collisions caused by a cyclist causes fewer serious injuries and fatalities than collisions caused by a motor vehicles and this is regularly used by those against the idea of making registration of and insurance for cyclists mandatory.

BICYCLE ACCIDENT REPORT (NOT INVOLVING A MOVING MOTOR VEHICLE) 2025

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