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Click ‘Get Form’ to open the mv104an form in the editor.
Begin by entering the page number at the top of the form, even if it is a single page. For multiple pages, ensure continuous numbering (e.g., 'Page 1 of 2 Pages').
Fill in the crash identification information. Start with the accident date using a two-digit format for month, day, and year. Include the day of the week using the first two letters (e.g., 'FR' for Friday).
Indicate military time for when the crash occurred and enter the number of vehicles involved. If there are more than two vehicles, use additional forms.
Complete driver information accurately as it appears on their license. This includes their name, address, date of birth, and license ID number.
Check relevant boxes regarding injuries, fatalities, and whether police photos were taken. Ensure all sections are filled out clearly to avoid processing delays.
Start filling out your mv104an form online for free today!
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
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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