Get Ny Av-1 2017

This guide provides you with clear instructions on how to complete the NY AV-1 form online for autonomous vehicle technology testing in New York State. Follow these steps to ensure a smooth submission process.

Follow the steps to fill out the NY AV-1 form online:

1. Press the ‘Get Form’ button to access the NY AV-1 form and open it in your preferred editor.
2. Begin with Part I: Applicant’s Identification. Provide the full legal name of your entity under the required field. If the entity uses a different name, include it in the ‘Other Names Entity Uses’ section.
3. Next, fill in the entity’s physical street address, including city, state, and zip code. Ensure all these fields, marked with an asterisk, are accurately filled out.
4. Provide the telephone number for your entity and, if different, state the mailing address. Include the city, state, and zip code for the mailing address as well.
5. In the ‘Contact Person Information’ section, fill in the name and title of an individual for communication. Provide their mailing address, city, state, zip code, telephone number, and email address.
6. Proceed to Part II: Agreement to Report Parameters and Results of Demonstration/Testing. Acknowledge your commitment to submit a report by the specified deadline, including details like the purpose, dates, locations, miles traveled, and impact findings.
7. Continue to Part III: Test Vehicle Fleet. List every vehicle that will be used for the demonstration/testing, including the Vehicle Identification Number (VIN), jurisdiction of registration, plate number, vehicle type, SAE automation level, and testing dates.
8. Move to Part IV: Insurance. Ensure that your entity has the necessary financial security for each vehicle listed. Attach proof of coverage, either as a copy of the insurance policy or a certificate of self-insurance.
9. Complete the signature section, certifying that all information is true and complete. Provide the entity name, sign, print your name and title, and include the date of submission.
10. Once you have filled out all sections, review the form for accuracy and completeness. Save your changes, then download, print, or share the completed form as required.

Start filling out the NY AV-1 form online today to ensure compliance with autonomous vehicle testing regulations.