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Accident Mv 104 Form: What You Should Know

Fill out the MV104, page 1, on the reverse of the page. NOTE: If you have any questions, do not hesitate to call (TDD, 24 hours a day). FEDERAL AND STATE LAWS REQUIRE THAT YOU FOLLOW THE INSTRUCTIONS IN THE FORM. A report of accident must contain the following: 1. The name of the driver involved in the accident 2. The place and date of the accident 3. The name and address of the owner of the vehicle(s) involved 4. The date, time, and location of the accident Information concerning your vehicle(s) should be complete, accurate, and complete. Information should be recorded as soon as possible when the information becomes available. 5. Whether you are the owner of the vehicle(s) involved or if you have had possession of the vehicle(s) 6. Which of: your vehicle(s) was insured, was not insured, or was not insured at the time of the accident 7. Any damages to your vehicle(s) 8. When the accident happened (date, time, description of accident, and location) 9. Whether you have filed an accident report and why in the past 10. Whether you are prepared to file or have filed an accident report. 11. If the property damage is over 500.00 and not insured, then the name and phone number of your insurance company 12. If the vehicle was used, the number of the current owner 13. If your vehicle was not used, it should be noted that 14. The vehicle identification numbers on the front windshield and/or side windows should immediately be placed on a separate sheet of paper that is not to be included in the accident report 15. In the event that your vehicle was towed, which must be reported, contact the tow company and arrange to have it towed off of the freeway 16. The DMV will issue an interim report to your insurance company after receiving the complete information for further investigation 17. If you choose not to file an accident report, then you should provide the information on this form as soon as you have the information. If you do not report the accident, the insurance company will be notified of your failure to file a report and the owner of the vehicle involved will be notified of their negligence in failing to file and maintain a report of accident.

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