How to Fill Out Form NYS MV-104 if You Were Injured

If a negligent driver hurt you in New York, you may have to fill out NYS MV-104 and send it to the Department of Motor Vehicles within 10 days of the accident.

In addition to calling the police after car accidents, victims must also complete NYS MV-104 for crashes that result in injury, death, or more than $1,000 in property damage, according to V.A.T. Law § 605(a)(1). This report has various sections, including areas where victims must include the other driver’s insurance information. Furthermore, victims must provide detailed information about the accident and their injuries. Our attorneys can help you fill out all the necessary sections of NYS MV-104 so that you do not leave out any crucial details, such as the weather during the accident and if all involved persons were wearing seat belts. Failing to submit NYS MV-10 to the Department of Motor Vehicles could result in a license suspension, even if you were the victim of an accident in New York.

Call The Carrion Law Firm’s Westchester, NY car accident lawyers for a free case review at (718) 841-0083.

Filling Out Form NYS MV-104 if You Were Injured in a Car Accident

NYS MV-104 has multiple sections victims may have to fill out following car accidents in New York. At the very top of the form, our attorneys will write the date, time, and day of the week of the accident, the number of vehicles involved, the number of victims injured, and whether or not the police investigated the accident. We can then move on to completing the additional sections within NYS MV-104.

Involved Drivers

Under the driver section, we will include your information and the other driver’s information. Victims must include their driver’s license ID numbers, home addresses, and dates of birth exactly as they appear on their licenses. To make completing this section easier, try to get the other driver’s information at the accident scene. If you had to go straight to the hospital, we may be able to obtain the other driver’s information from the police report.

Registrant Information

The second section deals with registrant information. Sometimes, car owners might lend their vehicles to friends or family, who then get into accidents. In these situations, the driver might not be the registered owner of the car, meaning the information in the driver section of the crash report would differ from the information in the registrant section. Again, when you are at the accident scene, you should get the car’s registration information so that our Ossining, NY car accident lawyers can assess the liability of all parties and if you have a claim against the car’s owner as well as the negligent driver.

Vehicle Damage

Next, victims must note the property damage to their vehicles. In this section, victims can estimate the cost of property damage and describe the damage in detail. Furthermore, victims can include drawn accident diagrams and indicate the direction of the accident. For example, you can specify if it was a rear-end, head-on, sideswipe, or T-bone accident.

Accident Location

When filling out NYS MV-104, you must include the exact location of the accident, such as the road it happened on and the city or town it happened in. You can also note any permanent landmarks nearby, like businesses or schools.

All Involved Persons

The fifth section of NYS MV-104 is where you can include information for all persons involved in the accident. For example, if there were passengers in either vehicle, you can note their position in the vehicle at the time of the accident, their age, whether or not they were wearing a seat belt, and if they sustained any injuries. This is where you can describe your injuries as well.

According to the directions for NYS MV-104, injuries are classified by severity. You would check the ‘A’ box on the form for severe lacerations, broken limbs, skull fractures, or if you were taken from the scene while unconscious.

You would check the ‘B’ box on the form for lumps on the head, abrasions, or minor lacerations. And you would check the ‘C’ box on the form for whiplash or complaints of pain with no visible injury.

Because you have ten days to submit NYS MV-104 to the New York Department of Motor Vehicles, you might have a clearer idea of your injuries by then and be able to provide more information about their severity.

In addition to reporting your injuries in NYS MV-104, you should tell the police about any immediately apparent injuries to your person when they arrive at the accident scene. That way, both the police report and your NYS MV-104 will contain similar information about your injuries and their severity.

Involved Parties’ Insurance Information

The final section is where you can include all involved parties’ insurance information and any property damage other than to a vehicle. Although New York is a no-fault state, you should still get the negligent driver’s liability insurance information at the scene.

Other Information

NYS MV-104 is complex, and victims must answer all prompts within the document, some of which are somewhat hidden. For example, along the right-hand side of NYS MV-104, there are sections for drivers to note if pedestrians or bicyclists were involved in the accident, if traffic control signals were nearby, the light, roadway surface, and weather conditions at the time, the direction of travel, the pre-accident vehicle location, the location of the first event, and the type of accident. Victims might easily miss these sections or forget certain details when they fill out these forms independently. If you try to submit NYS MV-104 without including such information, you could face consequences like a suspended driver’s license, according to V.A.T. Law § 605(a)(2).

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