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Instructions and Help about NY 104
You must report any accident occurring in New York State that costs a fatality personal injury or property damage for any person involved totaling more than one thousand dollars failure to do so within 10 days is a misdemeanor your license and/or registration may be suspended if you don't report the accident on time and according to the mv-104 form at the Law Offices of William Mattar we can walk you through the form and answer your questions the mv-104 form has two sections a and B to get started you will need a black ink pen your driver's license and vehicle registration it is also helpful if you have a copy of the police report while completing the form if any of the questions do not apply to your accident you should put a dash mark on the line if you don't know the correct answer you should put an X on the line the first step to completing the mv-104 form is reading the instructions provided on page 2 starting with section a labeled vehicle involvement then at the top of the form on page 1 enter in the date of the accident including the day and time along with the number of vehicles and people involved in the crash you'll also need to write down the precinct number of the police agency if the police investigated the accident this number should be on the police report next enter all of your personal information in the drivers box on page 1 as vehicle 1 writing down your driver's license number name address birth date and other requested information the information you prmust match the information on your driver's license exactly the other drivers information should be added directly across from your information if you didn't exchange information at scene of the accident you can find the other drivers information on the copy of the police report under your driver information in the registrant box write down the name address plate number vehicle make and model and more just as it appears on the registration you will do the same for the other drivers information which can again be found on the police report in the vehicle damage section of the form indicate the estimated cost of property damage to your car in the other car involved if you're unsure of the amount you may write a brief description of the damages for each car then circle the diagram that best describes how your accident occurred the accident location box asks you to write down exactly where the motor vehicle crash occurred this includes the county city road and nearby landmarks such as schools parking lots or towers to complete the all involved box list the names of everyone involved in the accident then answer questions eight nine ten twelve thirteen and sixteen which address each person's vehicle position safety equipment age sex and injuries refer to page two for more instruction on filling out this section.