Get Ny Av-1 2022

The NY AV-1 form is essential for manufacturers and entities testing or demonstrating autonomous vehicle technology on public highways in New York State. This guide provides step-by-step instructions to help you navigate the online form effectively.

Follow the steps to complete the NY AV-1 online application.

1. Click the ‘Get Form’ button to obtain the NY AV-1 and open it in the editor.
2. In Part I, provide the full legal name of the entity applying for the demonstration/testing, along with any other names you may use (DBA/assumed name). Fill in your entity’s physical street address, city, state, and zip code as required fields.
3. Enter your telephone number in the designated field. If your mailing address is different from your physical address, provide the relevant city and state in the next section.
4. Complete the Contact Person Information section by entering the name and title of the person responsible for correspondence. Include their mailing address, city, state, zip code, and telephone number.
5. Proceed to Part II and acknowledge your agreement to report parameters and results of the demonstration/testing, including the purpose, dates, and locations of the tests conducted.
6. In Part III, list every vehicle to be used for the autonomous vehicle technology demonstration/testing, including the vehicle identification number (VIN), jurisdiction of registration, plate number, vehicle type, SAE Level of automation, and date(s) of test/demo.
7. Ensure that each vehicle listed complies with the financial security requirement by obtaining a minimum of $5 million in insurance or other acceptable forms of financial security detailed in Part IV.
8. In the Signature/Certification section, affirm that the information is accurate and that you are authorized to submit this application on behalf of your entity. Provide your printed name, title, and date of signature.
9. Finally, ensure all sections are complete, save the form, and prepare to download, print, or share as needed.

Complete your NY AV-1 application online today to ensure compliance with state regulations for autonomous vehicle testing and demonstration.