Get your Form MV-104 in 3 easy steps

  • 01 Fill and edit template
  • 02 Sign it online
  • 03 Export or print immediately

What is MV 104 Form?

The MV 104 Form printable is a one-page blank used to record car accidents on New York State highways and streets. Such events should be properly documented and reported within ten days at the latest. Otherwise, your license might be suspended.

Form MV-104 on PDFLiner

What do I need Form MV 104 for?

  • If you are involved in a car accident that injures people or damages someone's property in excess of $1000, you must complete the MV-104 Form printable and submit it to the Crash Record Center.
  • If the damage is minor and no one was hurt during the incident, the issue can be resolved on the spot and not reported.

How to Fill Out MV-104 Form?

  1. Enter the exact date and time of the accident, the number of vehicles involved and casualties, and the name of the police officer who arrived at the scene (if any).
  2. Fill in the block with the data of the first driver and vehicle: the name of the driver, their ID, address, date of birth, passengers, etc.
  3. Enter information about the second participant in the incident. It can be another vehicle, a bicycle, a pedestrian, and so on.
  4. Write down the registration information of all participants in the accident and calculate the approximate cost of damage.
  5. Explain this event using diagrams and arrows and briefly describe the damage.
  6. Enter the exact location where the accident occurred and provide the insurance details of all participants. Each of them must put their signature.

Form MV-104 on PDFLiner

Organizations that work with MV-104 DMV Form

  • NY DMV

Form Versions

2011 Fillable Form MV-104 (2011) Fill Out Form

What people say

  • Fred Walters
    Now that I’ve switched from Word to PDFLiner, I save lots of time processing and digitally distributing tons of billing forms, work orders, forecast reports, and invoices. In addition to this, thanks to PDFLiner, we’ve significantly minimized our paper consumption. Excellent tool that helps me cope with my business workflow faster and easier.
  • Peter Scheffel
    Self-employed attorney
    PDFLiner allows me to streamline the processes of generating and managing legal documents, as well as collecting electronic signatures for all my contracts and agreements. I like that I can customize forms on the go and access PDFLiner from all my gadgets. No more printing or scanning! That’s just brilliant!
  • Lisa Matthews
    University student
    When you’re a student, you deal with PDFs a lot… Newsletters, various worksheets, official forms you need to fill in and sign, etc… To me, filling out a PDF form used to be among the trickiest and most time-consuming things ever. But then a friend of mine introduced me to PDFLiner, and oh my God, my life has changed since then. It’s easy to use and has so many great features. Just awesome, I love it!
Fillable online Form MV-104
(5 / 5) 1 votes
Please, wait...
We use unpersonalized cookies to keep our site working and collect statistics for marketing purposes. By continuing to use this site, you consent to this policy. Learn more