Who must file Form DL-104?

Anyone involved in a motor‑vehicle accident in New York State that results in injury, death, or property damage exceeding $500 must file DL-104 with the DMV.

Can I submit DL-104 electronically?

Yes. After completing the fillable PDF, you can email the PDF to the address provided by the DMV or upload it through the NY DMV online portal if available.

What information is required on the form?

The form asks for driver and vehicle details, date and location of the crash, a description of how the accident occurred, and any injuries or property damage.

How long do I have to file the report?

DL-104 must be filed within 10 days of the accident. Filing later may result in penalties or suspension of your driver’s license.

Is there a fee to file DL-104?

There is no filing fee for DL-104 itself, but the DMV may assess fees for related services such as license reinstatement.

What if I make a mistake on the form?

You can correct errors by editing the fillable PDF before submission. If you have already submitted, contact the NY DMV to request a corrected form.

Do I need a police report?

A police report is recommended and often required for serious accidents. Attach a copy of the report when you submit DL-104.

Can I save my progress and finish later?

Yes. The Formize PDF Filler automatically saves your entries. You can close the browser and return later to continue.

NY DMV Form DL-104 – Fillable PDF Crash Report

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NY DMV Form DL-104 – Fillable PDF Crash Report

Form DL-104 is the New York Department of Motor Vehicles (NY DMV) official report used to document motor‑vehicle crashes that occur on state roads. Whether you were involved in a minor fender‑bender or a more serious accident, the DL-104 must be completed accurately and submitted to the DMV within the required time frame.

This page provides a free, fillable PDF version of DL-104, a complete guide on how to fill it out using the Formize PDF Filler app, and answers to the most common questions drivers have about the form.

Why use the fillable PDF? The online version lets you type directly into each field, automatically saves your progress, and eliminates the need for printing, scanning, or handwriting errors.

Below you’ll find a quick overview of the form’s sections, step‑by‑step instructions, and tips to avoid typical pitfalls.

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FAQ

Who must file Form DL-104?
Anyone involved in a motor‑vehicle accident in New York State that results in injury, death, or property damage exceeding $500 must file DL-104 with the DMV.
Can I submit DL-104 electronically?
Yes. After completing the fillable PDF, you can email the PDF to the address provided by the DMV or upload it through the NY DMV online portal if available.
What information is required on the form?
The form asks for driver and vehicle details, date and location of the crash, a description of how the accident occurred, and any injuries or property damage.
How long do I have to file the report?
DL-104 must be filed within 10 days of the accident. Filing later may result in penalties or suspension of your driver’s license.
Is there a fee to file DL-104?
There is no filing fee for DL-104 itself, but the DMV may assess fees for related services such as license reinstatement.
What if I make a mistake on the form?
You can correct errors by editing the fillable PDF before submission. If you have already submitted, contact the NY DMV to request a corrected form.
Do I need a police report?
A police report is recommended and often required for serious accidents. Attach a copy of the report when you submit DL-104.
Can I save my progress and finish later?
Yes. The Formize PDF Filler automatically saves your entries. You can close the browser and return later to continue.

HOW TO

How to fill out DL-104 for free, online in 5 easy steps:

1
Open the Fillable Form
Click the "Fill out this form" button on this page. The Formize PDF Filler app will open in a new tab.
2
Load the DL-104 PDF
The app automatically loads the DL-104 fillable PDF. No extra download is required.
3
Complete Each Section
Type directly into the highlighted fields. Use the navigation pane to jump between sections, and the auto‑save feature keeps your data safe.
4
Validate Your Entries
When you finish, click "Validate". The tool will highlight any missing or incorrectly formatted fields.
5
Submit or Download
After validation, download the completed PDF or print it for mailing to the NY DMV. You can also email the file directly from the app if your jurisdiction permits.

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DL-104 template

With the traditional set of features for viewing and filling out a PDF document, combined with the benefits of a web application and responsive layout, you can complete DL-104 in minutes.

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