What is the MV-104 Form Used For in New York State?

Definition and Purpose of the MV-104 Form

The MV-104 form is a crucial document used in New York State to report motor vehicle accidents to the Department of Motor Vehicles (DMV). It serves as an official record of the incident, detailing the circumstances surrounding the accident. This form is mandated when an accident results in one of the following:

  • A death occurs due to the accident.
  • Any person sustains personal injuries.
  • Property damage exceeds $1,000 for any individual or vehicle.

By filing the MV-104, individuals ensure compliance with state laws and contribute to the collection of data that can enhance road safety measures.

How to Use the MV-104 Form

Using the MV-104 form involves several steps to ensure accurate reporting of the accident. The form must be filled out with precise information regarding the incident. Here is how to effectively use the form:

  • Gather all necessary information, including the date, time, and location of the accident.
  • Collect details about all vehicles involved, including license plate numbers and insurance information.
  • Document any injuries sustained and the extent of property damage.

Once completed, the MV-104 must be submitted to the DMV within ten days of the accident. This timely submission is critical to avoid penalties.

How to Obtain the MV-104 Form

The MV-104 form can be obtained through various channels:

  • Visit the New York State DMV website to download a printable version of the form.
  • Request a physical copy from local DMV offices.
  • Access the form through authorized third-party websites that provide DMV-related documents.

Having the correct version of the MV-104 is essential, as outdated forms may not be accepted.

Steps to Complete the MV-104 Form

Filling out the MV-104 form requires careful attention to detail. Follow these steps to ensure accuracy:

  • Start by entering your personal information, including your name, address, and driver’s license number.
  • Provide details about the accident, including the date, time, and location.
  • List all vehicles involved, including the make, model, and license plate numbers.
  • Document any injuries and the extent of property damage, ensuring to provide accurate estimates.
  • Sign and date the form to certify that the information provided is true and accurate.

Double-check all entries before submission to prevent delays or issues with processing.

Importance of Filing the MV-104 Form

Filing the MV-104 form is not just a legal requirement; it serves several important purposes:

  • Legal Compliance: Failing to file the MV-104 when required can result in fines, criminal charges, and potential suspension of your driver’s license.
  • Insurance Claims: The form acts as a critical document for insurance companies to process claims and determine liability.
  • Statistical Analysis: Data collected from MV-104 forms help state authorities identify accident trends and implement safety measures.

Who Typically Uses the MV-104 Form?

The MV-104 form is primarily used by individuals involved in motor vehicle accidents in New York State. This includes:

  • Drivers of passenger vehicles.
  • Motorcyclists.
  • Commercial vehicle operators.
  • Pedestrians who are involved in accidents with motor vehicles.

Understanding who is required to file the form ensures compliance and proper documentation of incidents.

Key Elements of the MV-104 Form

Several key elements must be included in the MV-104 form to ensure it is complete:

  • Accident Details: Date, time, and location of the accident.
  • Involved Parties: Names and contact information of all drivers and witnesses.
  • Vehicle Information: Make, model, and registration details of all vehicles involved.
  • Injury and Damage Assessment: Clear documentation of any injuries and property damage.

Each of these elements is critical for the form’s validity and for processing any subsequent insurance claims.

Penalties for Non-Compliance with the MV-104 Requirements

Failing to file the MV-104 form when required can lead to serious consequences:

  • Fines imposed by the DMV.
  • Criminal misdemeanor charges, which can affect driving privileges.
  • Increased insurance premiums due to non-compliance.

Understanding these penalties emphasizes the importance of timely and accurate filing of the MV-104 form.

By signNow's Team
By signNow's Team
August 28, 2025
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