FOR DMV USE ONLY BICYCLE ACCIDENT REPORT (NOT INVOLVING A MOVING MOTOR VEHICLE) PLEASE READ ALL INSTRUCTIONS ON PAGE 2 OF THIS FORM. Then print the required information in the spaces below. Use black.

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How to fill out the NY MV-104C online

The NY MV-104C form is essential for reporting bicycle accidents not involving a moving motor vehicle. This guide provides comprehensive, step-by-step instructions on how to fill out this important document online, ensuring you accurately provide the necessary information.

Follow the steps to complete the NY MV-104C form efficiently.

  1. Click the ‘Get Form’ button to access the NY MV-104C form and open it in your preferred online editor.
  2. Begin by filling out the accident date, including the month, day, year, and time of day, specifying AM or PM.
  3. Enter the bicyclist’s full name, including their last name, first name, and middle initial, followed by their address details including city, state, and zip code.
  4. Indicate whether the police investigated the accident scene by selecting 'Yes' or 'No'. If 'Yes', include the name of the police agency.
  5. Provide detailed information about the accident by selecting the appropriate choices for the accident description, including the nearest intersecting street and road conditions.
  6. Fill out the severity of injuries section, specifying the most severe injury, its location, and type from the options provided.
  7. Complete the required health services section, indicating any emergency medical services that were utilized.
  8. If applicable, fill out the bicycle helmet section to indicate whether the bicyclist was wearing a helmet at the time of the accident.
  9. Review all the information you have provided for accuracy before signing the form at the bottom.
  10. Once you have completed the form, save your changes. You can then download, print, or share the form as needed.

Complete your NY MV-104C form online today for a smooth reporting process.

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What is an MV-104 in NY?

To meet the filing requirements, you must fill out and file the Report of Motor Vehicle Accident (PDF) (MV-104). In addition, if the accident caused property damage only, you must exchange information about your driver license, insurance, and registration with the involved drivers and file the MV-104.

In the event of an auto accident, you will have to file a report and have it recorded by the DMV in New York. This is required by law.

The DMV keeps accident reports submitted by both police and motorists for up to four years after the accident. Accident reports are public record, meaning that anyone who wants to look at your New York car accident report can do so for a fee.

The MV-104 Form should be submitted to your local DMV within 10 days of the accident.

Some states give you up to 10 days from the date of an accident to file the report; this includes New York.

NYPD accident reports can be retrieved online through the Collision Report Retrieval Portal. It can take up to seven business days from the date of your accident for the report to become retrievable via the portal.

The form required (MV-198C) to request a copy of the report is available online at: .dmv.ny.gov.

must file their own accident report within 10 days from the date of accident or DMV may suspend your driver's license until your report is received. To meet the filing requirements, you must fill out and file the Report of Motor Vehicle Accident (PDF) (MV-104).

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