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MV-104 (9/99) PAGE 1 New York State Department of Motor Vehicles DMV USE REPORT OF MOTOR VEHICLE ACCIDENT PLEASE READ THE INSTRUCTIONS IN SECTION A PAGE 2 DO NOT FORGET ACCIDENT DATE ? Accident Date
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How to fill out mv-104 999 page:

01
Start by carefully reading the instructions provided on the form. Make sure you understand all the sections and requirements before proceeding.
02
Begin filling out the basic information section, including the date, time, and location of the incident. Provide accurate details to ensure clarity and accuracy in the report.
03
Move on to the vehicle information section. Fill out the details of the vehicles involved in the incident, such as the make, model, license plate numbers, and owner information.
04
In the next section, provide a narrative description of the accident. Be concise but thorough in explaining what happened, including any contributing factors or circumstances leading to the incident.
05
Proceed to the people information section. Include the names, contact details, and identification information of all individuals involved, including drivers, passengers, and pedestrians. Provide accurate and complete information.
06
If there were injuries or fatalities, provide a detailed account in the injuries/fatalities section. Include the names, extent of injuries, and medical attention received for each person involved.
07
Finally, review all the information provided on the form. Ensure that it is accurate, legible, and complete. Make any necessary corrections before signing and dating the document.
08
Keep a copy of the completed mv-104 999 page for your records and submit the original to the appropriate authorities, as instructed.

Who needs mv-104 999 page:

01
Individuals involved in a motor vehicle accident in which death or severe physical injury occurred or was suspected.
02
Law enforcement officers responding to or investigating the accident.
03
Insurance companies, lawyers, or other parties involved in legal proceedings related to the accident.
04
The Department of Motor Vehicles or other relevant government agencies may require the submission of this form for record-keeping and statistical purposes.
It is important to note that the specific requirements and regulations regarding the mv-104 999 page may vary depending on the jurisdiction. Therefore, it is advisable to consult the relevant authorities or legal professionals for accurate and up-to-date information.
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The mv-104 999 page is a specific form used for reporting motor vehicle accidents in certain states.
The drivers involved in a motor vehicle accident are required to file the mv-104 999 page.
The mv-104 999 page can be filled out by providing information about the accident, involved parties, and any injuries or damages.
The purpose of the mv-104 999 page is to document and report motor vehicle accidents for insurance and legal purposes.
Information such as date, time, location of the accident, names of drivers, vehicle information, and details of the incident must be reported on the mv-104 999 page.
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