NYS DMV Form MV-104C. Bicycle Accident Report

Form MV-104C is required to be filed by a bicyclist when a bike accident involving death or serious physical injury occurs on a public highway in New York State. However, this form does not involve a motor vehicle. For accidents involving motor vehicles, Form MV-104 should be used instead.

The form typically includes sections for providing details about the bicycle accident, including the date, time, location, and description of the incident. It also requires information about the parties involved and any witnesses present during the accident.

Application Example: If a bicyclist is involved in an accident resulting in death or serious physical injury on a public highway in New York State, they are required to complete Form MV-104C. This form allows them to report the accident and provide essential information for investigation and documentation purposes.

Related Forms: Form MV-104C specifically focuses on reporting bicycle accidents that do not involve motor vehicles. For accidents involving motor vehicles, Form MV-104 should be utilized instead.