Form Mv104f Instructions - Accident Report For School Vehicles Transporting Pupils/teachers/supervisors printable pdf download

MV104F Guidelines

new York state school Vehicle accident reportinG requireMents

If the following conditions are met, the bus driver must file NYS DMV Form MVJ 04F, "Accident Report for School

Ve hicles," within 10 days. Failure to file is a misdemeanor and can result in a license or registration suspension.

use the MV104F only if the following conditions are met:

the school vehicle involved in the accident (see below) was owned or contracted for by a school;

(Note: "school vehicle" may include any type of vehicle, including a passenger car or van, so long as it is owned or

contracted for by a public or private school and being used for transportation to or from school or school activities.

The term "school vehicle" is NOT limited to yellow school buses.)

and

the school vehicle was in the process of transporting, or picking up or discharging, students, children of

students, teachers, bus monitors, or supervisory personnel;

(Note: the bus is considered "involved in the accident" even if it didn't physically contact another vehicle or person,

if the bus driver had activated, or should have activated, the flashing yellow overhead warning lights as the bus ap-

proaches a stop, or has stopped with its red flashers activated, until children are safely out of the road way and at

least 15' from the bus.)

(

Note: if no passengers were being transported, picked up, or discharged when the accident occurred - for in stance,

a bus driver "deadheading" back to base, or a mechanic road-testing a bus - do not use the MV104F.)

and one or both of the following:

An injury or death occurred to any party involved in the accident (injury can range from complaint of pain with

and/or

no vis ible injury, to severe injuries - see the back of the MV104F for definition of injury categories);

Property damage (including damage to a vehicle or a fixed object such as a fence, house, pole, etc.) occurs to any

one party in excess of $1000.

If the above conditions are not met, do not file an MVl04F.

However, you may still be re quired

to file an MV104, "Report of Motor Vehicle Accident."

If the above conditions are met, the bus driver must file the report within 10 days. Your supervisor should have a

blank MV104F form, or they may be obtained from DMV; ask your supervisor for assistance in completing the

form.

Follow these guidelines in completing the form:

Print legibly, using black ink - or type.

Your vehicle (the school vehicle) is Vehicle No. 1 (left side of form) If you are filing the report because damage

to an other vehicle or fixed property is in excess of $1000, clearly state that damage was in excess of $1000 in the

section "De scribe Damage to (Vehicle No. 2)" on right side, middle, of form.

All sections of the form must be filled out. This includes the center "SCH" section (which runs the entire width

of the form) which asks for information about bus driver experience and training and Date," as well as the 11

boxes along the right side of the form (fold the form in half vertically so the back matches with the front, for an

explanation of what the boxes mean).

Form Mv104f Instructions - Accident Report For School Vehicles Transporting Pupils/teachers/supervisors