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MV-104B (5/02) PAGE 1 of 2 HERE FOLD New York State Department of Motor Vehicles Use only for accidents that happen in New York State REPORT OF MOTOR VEHICLE ACCIDENT (CDC) www.nysdmv.com BEFORE COMPLETING
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How to fill out mv 104b?

01
Fill in the top section with your personal information such as name, address, and contact information.
02
Provide details about the accident, including the date, time, and location.
03
Describe the vehicles involved and their identification information (such as make, model, and license plate number).
04
Note down the names, addresses, and insurance information of all parties involved in the accident.
05
Provide a detailed account of what happened during the accident, including the sequence of events and any contributing factors.
06
If there were any witnesses, mention their names and contact information.
07
Indicate the damages and injuries sustained by all parties involved.
08
Sign and date the form at the bottom.

Who needs mv 104b?

01
Individuals who have been involved in a motor vehicle accident in the state requiring a report.
02
Insurance companies may request a completed mv 104b form to process claims.
03
Law enforcement agencies may require the form for their records or as part of their investigation into the accident.

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MV-104B is a New York State Department of Motor Vehicles (DMV) form used to report a motor vehicle accident. It is also known as the "Report of Motor Vehicle Accident" form. The form is used by drivers involved in accidents to report the details of the incident to the DMV and to insurance companies. It includes information about the vehicles involved, driver and passenger details, accident location, and a narrative description of the accident.
MV 104B form is used for reporting accidents involving property damage over $1,000 or personal injury. The party involved in the accident, generally the driver, is required to file MV 104B if the accident meets the criteria mentioned above and falls under the jurisdiction of the state or local law enforcement agency. In most cases, this responsibility falls on the driver of the vehicle involved in the accident.
To fill out an MV-104B form, you need to follow these steps: 1. Obtain the form: The MV-104B form is a police accident report. You can get a copy of the form from the police department that responded to the accident or download it from the official New York State Department of Motor Vehicles (DMV) website. 2. Provide general information: Fill out the general information section at the top of the form, including the date, time, and location of the accident, as well as the identification numbers of the involved vehicles (License Plate Numbers, Vehicle Identification Numbers). 3. Provide contact and insurance information: Fill in the contact information for the parties involved in the accident, including names, addresses, phone numbers, and insurance company details. 4. Describe the accident: Describe the accident in the narrative section, including the sequence of events, the conditions at the time (weather, road conditions, etc.), vehicle movements, and any contributing factors. Be as thorough and specific as possible, including diagrams if necessary. 5. Classify the accident: Indicate the type or chief contributing factor of the accident by checking the appropriate boxes. These factors may include speed, alcohol or drug involvement, distraction, improper turning, etc. 6. Provide officer information: The investigating police officer should fill out their information, including name, badge number, and police department contact details. 7. Submit the form: Once completed, submit the MV-104B form to the appropriate local agency, typically the police department that responded to the accident. Retain a copy for your records. Note: It is important to complete the form accurately and honestly, as the information may be used by insurance companies, legal entities, and the DMV when determining fault and processing claims. If you have any doubts or questions about filling out the form, consult your local DMV or a legal professional.
The purpose of MV-104B form, also known as "Police Accident Report", is to document and provide information about motor vehicle accidents. This form is typically used by law enforcement officers to record details of traffic crashes, including the date, time, location, vehicles involved, contributing factors, and any injuries or fatalities. The information collected helps in the investigation, analysis, and statistical reporting of motor vehicle accidents for various purposes, such as determining fault, identifying trends, making policy decisions, and improving road safety measures. The MV-104B form is generally filled out by the investigating officer and may be requested by insurance companies, lawyers, or individuals involved in the accident for legal or insurance purposes.
MV-104B is a form used in New York State to report a motor vehicle accident. The information that must be reported on the MV-104B form includes: 1. Location of the accident: The form requires the exact location of the accident, including the street name, city, and county. 2. Date and time of the accident: The form asks for the date and time the accident occurred, including whether it happened during daylight or darkness. 3. Vehicle and owner information: The form requires details about the vehicles involved in the accident, such as the make, model, year, license plate numbers, and registration information. Information about the vehicle's owner, including name, address, and insurance information, should also be included. 4. Driver information: The names, addresses, dates of birth, driver's license numbers, and license class of all drivers involved in the accident need to be provided. 5. Passengers and witnesses: The form asks for the names, addresses, and phone numbers of any passengers and witnesses present at the scene of the accident. 6. Police report information: If a police officer arrived at the scene and filed a report, their name, badge number, and assigned agency information should be included. 7. Injuries and fatalities: The form requires information about any injuries sustained by drivers, passengers, and pedestrians involved in the accident. If there were any fatalities, those details should also be reported. 8. Diagram of the accident scene: The form includes a diagram section where individuals can sketch the accident scene, indicating the position of vehicles and any other relevant information. 9. Description of events: A narrative description of how the accident occurred and the sequence of events leading up to it should be provided. 10. Insurance information: Details of the insurance companies and policy numbers of all involved parties should be reported. It's important to note that the specific requirements on the MV-104B form may vary depending on the state or country where the accident occurred. It is best to consult the specific guidelines for reporting accidents provided by the relevant authorities in your jurisdiction.
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