- Form MV-104S - Truck and Bus Supplemental Police Accident Report - New York
- Form MV-104 - Report of Motor Vehicle Accident - New York
- Form MV-198C - Request for Copy of Accident Report - New York
- Form MV-104L - Motor Vehicle/Police Line of Duty Accident Report - New York
- Form MV-104D - Police Report for Fatal Motor Vehicle Accidents - New York
- Form MV-104F - Accident Report for School Vehicles - New York
Fillable Printable Form MV-104F - Accident Report for School Vehicles - New York
Fillable Printable Form MV-104F - Accident Report for School Vehicles - New York
Form MV-104F - Accident Report for School Vehicles - New York
Estimated Cost of Repairs
$1501 to $2000
$2001 to $2500
Over $2500
Enter the diagram number from below that describes the accident;_________
or draw your own diagram in the space provided (9). Number the vehicles.
Your vehicle is No. 1.
Training: Basic Advanced
New York State Department of Motor Vehicles
ACCIDENT REPORT FOR SCHOOL VEHICLES
TRANSPORTING PUPILS/TEACHERS/SUPERVISORS
Page _______ of _______
1
2
3
4
5
6
7
23
24
25
26
27
28
29
30
Accident Description (Give your own version)
Identify Damaged Property Other Than Vehicle(s)
Name of Insurance Company Which Issued Policy Policy Number
Policy Period
Name and Address of Permit Holder
From To
Name and Address of Policyholder
If Vehicle was Operated Under Permit of ICC or NYS DOT, Give No.
VIN
Public School District Name
If Self-Insured, give Certificate No.
Private School System Name
and State
Bus Driver: Regular Sub
Bus Capacity How many people
were standing on
the bus?
Date
COPY 1: COMMISSIONER OF MOTOR VEHICLES
Print Name of Driver
(or Representative*)
of Vehicle 1
Signature of Driver
(or Representative*)
of Vehicle 1
Accident Date Day of Week
Time Left Scene
Month Day Year
AM
PM
Number of
Vehicles
Did police investigate
accident at scene?
Yes No
If Yes, Name of Police Agency
Driver License ID Number
Last Name of Driver 1
Mailing Address (Include Number & Street)
Mailing Address (Include Number & Street)
First Name M.I. Last Name of Driver 2 First Name M.I.
Name - exactly as printed on registration
Name - exactly as printed on registration
City or Town
Date of Birth
M F
Sex
State of License
State Zip Code City or Town State Zip Code
City or Town
No. of
Occupants
Estimated Cost of Repairs
Plate Number State
of Reg.
Vehicle Year & Make Vehicle Type
State
# of Years of Experience Driving School Bus _____________
Zip Code
City or Town
State Zip Code
Apt. No.
Mailing Address (Include Number & Street)
Apt. No.
Apt. No. Mailing Address (Include Number & Street) Apt. No.
Month Day Year
Date of Birth
M F
Sex
No. of
Occupants
Driver License ID Number
State of License
$1501 to $2000
$1001 to $1500
$1001 to $1500
$2001 to $2500
Over $2500
Plate Number State
of Reg.
Vehicle Year & Make Vehicle Type
City
Town of
Village
Miles N E
Feet S W of
At Intersection With
Describe damage to Vehicle 1
Describe damage to Vehicle 2
ACCIDENT DIAGRAM
County of Accident
Route No. or Street Name Route No. or Street Name
Nearest Intersecting Route/Street
±
MV-104F (5/07)
PAGE 1 OF 7
Rear End
Sideswipe
(same direction)
Sideswipe
(opposite direction)
Left Turn Right Angle
Right Turn
Head On
1.
2.
9.
4. 6. 8.
3.
5.
7.
Right Turn
Left
0.
DRIVER
REGISTRANT
VEHICLE DAMAGE
INSURANCE
SCHOOL/
VEHICLE
ACCIDENT
LOCATION
A representative may sign for the driver if the driver is unable to sign
because of injury or death. If you are signing as the driver’s
representative, check the box that describes why the driver cannot sign.
An accident report is not considered complete and filed unless it is
signed, and if not signed may result in the suspension of your driver’s
license and/or registration.
Injury
Death
*
DRIVER OF VEHICLE 1
VEHICLE 2
BICYCLIST
PEDESTRIAN
OTHER PEDESTRIAN
Date of Birth Sex
Month Day Year
Date of Birth Sex
Month Day Year
Month Day Year
BEFORE COMPLETING THIS FORM, READ THE INSTRUCTIONS IN SECTION A ON PAGE 6
Estimated Cost of Repairs
$1501 to $2000
$2001 to $2500
Over $2500
Enter the diagram number from below that describes the accident;_________
or draw your own diagram in the space provided (9). Number the vehicles.
Your vehicle is No. 1.
Training: Basic Advanced
New York State Department of Motor Vehicles
ACCIDENT REPORT FOR SCHOOL VEHICLES
TRANSPORTING PUPILS/TEACHERS/SUPERVISORS
Page _______ of _______
1
2
3
4
5
6
7
23
24
25
26
27
28
29
30
Accident Description (Give your own version)
Identify Damaged Property Other Than Vehicle(s)
Name of Insurance Company Which Issued Policy Policy Number
Policy Period
Name and Address of Permit Holder
From To
Name and Address of Policyholder
If Vehicle was Operated Under Permit of ICC or NYS DOT, Give No.
VIN
Public School District Name
If Self-Insured, give Certificate No.
Private School System Name
and State
Bus Driver: Regular Sub
Bus Capacity How many people
were standing on
the bus?
Date
COPY 2: NYS EDUCATION DEPARTMENT
Print Name of Driver
(or Representative*)
of Vehicle 1
Signature of Driver
(or Representative*)
of Vehicle 1
Accident Date Day of Week
Time Left Scene
Month Day Year
AM
PM
Number of
Vehicles
Did police investigate
accident at scene?
Yes No
If Yes, Name of Police Agency
Driver License ID Number
Last Name of Driver 1
Mailing Address (Include Number & Street)
Mailing Address (Include Number & Street)
First Name M.I. Last Name of Driver 2 First Name M.I.
Name - exactly as printed on registration
Name - exactly as printed on registration
City or Town
Date of Birth
M F
Sex
State of License
State Zip Code City or Town State Zip Code
City or Town
No. of
Occupants
Estimated Cost of Repairs
Plate Number State
of Reg.
Vehicle Year & Make Vehicle Type
State
# of Years of Experience Driving School Bus _____________
Zip Code
City or Town
State Zip Code
Apt. No.
Mailing Address (Include Number & Street)
Apt. No.
Apt. No. Mailing Address (Include Number & Street) Apt. No.
Month Day Year
Date of Birth
M F
Sex
No. of
Occupants
Driver License ID Number
State of License
$1501 to $2000
$1001 to $1500
$1001 to $1500
$2001 to $2500
Over $2500
Plate Number State
of Reg.
Vehicle Year & Make Vehicle Type
City
Town of
Village
Miles N E
Feet S W of
At Intersection With
Describe damage to Vehicle 1
Describe damage to Vehicle 2
ACCIDENT DIAGRAM
County of Accident
Route No. or Street Name Route No. or Street Name
Nearest Intersecting Route/Street
±
MV-104F (5/07)
PAGE 2 OF 7
Rear End
Sideswipe
(same direction)
Sideswipe
(opposite direction)
Left Turn Right Angle
Right Turn
Head On
1.
2.
9.
4. 6. 8.
3.
5.
7.
Right Turn
Left
0.
DRIVER
REGISTRANT
VEHICLE DAMAGE
INSURANCE
SCHOOL/
VEHICLE
ACCIDENT
LOCATION
A representative may sign for the driver if the driver is unable to sign
because of injury or death. If you are signing as the driver’s
representative, check the box that describes why the driver cannot sign.
An accident report is not considered complete and filed unless it is
signed, and if not signed may result in the suspension of your driver’s
license and/or registration.
Injury
Death
*
DRIVER OF VEHICLE 1
VEHICLE 2
BICYCLIST
PEDESTRIAN
OTHER PEDESTRIAN
Date of Birth Sex
Month Day Year
Date of Birth Sex
Month Day Year
Month Day Year
BEFORE COMPLETING THIS FORM, READ THE INSTRUCTIONS IN SECTION A ON PAGE 6
Estimated Cost of Repairs
$1501 to $2000
$2001 to $2500
Over $2500
Enter the diagram number from below that describes the accident;_________
or draw your own diagram in the space provided (9). Number the vehicles.
Your vehicle is No. 1.
Training: Basic Advanced
New York State Department of Motor Vehicles
ACCIDENT REPORT FOR SCHOOL VEHICLES
TRANSPORTING PUPILS/TEACHERS/SUPERVISORS
Page _______ of _______
1
2
3
4
5
6
7
23
24
25
26
27
28
29
30
Accident Description (Give your own version)
Identify Damaged Property Other Than Vehicle(s)
Name of Insurance Company Which Issued Policy Policy Number
Policy Period
Name and Address of Permit Holder
From To
Name and Address of Policyholder
If Vehicle was Operated Under Permit of ICC or NYS DOT, Give No.
VIN
Public School District Name
If Self-Insured, give Certificate No.
Private School System Name
and State
Bus Driver: Regular Sub
Bus Capacity How many people
were standing on
the bus?
Date
COPY 3: NYS DEPARTMENT OF TRANSPORTATION
Print Name of Driver
(or Representative*)
of Vehicle 1
Signature of Driver
(or Representative*)
of Vehicle 1
Accident Date Day of Week
Time Left Scene
Month Day Year
AM
PM
Number of
Vehicles
Did police investigate
accident at scene?
Yes No
If Yes, Name of Police Agency
Driver License ID Number
Last Name of Driver 1
Mailing Address (Include Number & Street)
Mailing Address (Include Number & Street)
First Name M.I. Last Name of Driver 2 First Name M.I.
Name - exactly as printed on registration
Name - exactly as printed on registration
City or Town
Date of Birth
M F
Sex
State of License
State Zip Code City or Town State Zip Code
City or Town
No. of
Occupants
Estimated Cost of Repairs
Plate Number State
of Reg.
Vehicle Year & Make Vehicle Type
State
# of Years of Experience Driving School Bus _____________
Zip Code
City or Town
State Zip Code
Apt. No.
Mailing Address (Include Number & Street)
Apt. No.
Apt. No. Mailing Address (Include Number & Street) Apt. No.
Month Day Year
Date of Birth
M F
Sex
No. of
Occupants
Driver License ID Number
State of License
$1501 to $2000
$1001 to $1500
$1001 to $1500
$2001 to $2500
Over $2500
Plate Number State
of Reg.
Vehicle Year & Make Vehicle Type
City
Town of
Village
Miles N E
Feet S W of
At Intersection With
Describe damage to Vehicle 1
Describe damage to Vehicle 2
ACCIDENT DIAGRAM
County of Accident
Route No. or Street Name Route No. or Street Name
Nearest Intersecting Route/Street
±
MV-104F (5/07)
PAGE 3 OF 7
Rear End
Sideswipe
(same direction)
Sideswipe
(opposite direction)
Left Turn Right Angle
Right Turn
Head On
1.
2.
9.
4. 6. 8.
3.
5.
7.
Right Turn
Left
0.
DRIVER
REGISTRANT
VEHICLE DAMAGE
INSURANCE
SCHOOL/
VEHICLE
ACCIDENT
LOCATION
A representative may sign for the driver if the driver is unable to sign
because of injury or death. If you are signing as the driver’s
representative, check the box that describes why the driver cannot sign.
An accident report is not considered complete and filed unless it is
signed, and if not signed may result in the suspension of your driver’s
license and/or registration.
Injury
Death
*
DRIVER OF VEHICLE 1
VEHICLE 2
BICYCLIST
PEDESTRIAN
OTHER PEDESTRIAN
Date of Birth Sex
Month Day Year
Date of Birth Sex
Month Day Year
Month Day Year
BEFORE COMPLETING THIS FORM, READ THE INSTRUCTIONS IN SECTION A ON PAGE 6
Estimated Cost of Repairs
$1501 to $2000
$2001 to $2500
Over $2500
Enter the diagram number from below that describes the accident;_________
or draw your own diagram in the space provided (9). Number the vehicles.
Your vehicle is No. 1.
Training: Basic Advanced
New York State Department of Motor Vehicles
ACCIDENT REPORT FOR SCHOOL VEHICLES
TRANSPORTING PUPILS/TEACHERS/SUPERVISORS
Page _______ of _______
1
2
3
4
5
6
7
23
24
25
26
27
28
29
30
Accident Description (Give your own version)
Identify Damaged Property Other Than Vehicle(s)
Name of Insurance Company Which Issued Policy Policy Number
Policy Period
Name and Address of Permit Holder
From To
Name and Address of Policyholder
If Vehicle was Operated Under Permit of ICC or NYS DOT, Give No.
VIN
Public School District Name
If Self-Insured, give Certificate No.
Private School System Name
and State
Bus Driver: Regular Sub
Bus Capacity How many people
were standing on
the bus?
Date
COPY 4: SCHOOL
Print Name of Driver
(or Representative*)
of Vehicle 1
Signature of Driver
(or Representative*)
of Vehicle 1
Accident Date Day of Week
Time Left Scene
Month Day Year
AM
PM
Number of
Vehicles
Did police investigate
accident at scene?
Yes No
If Yes, Name of Police Agency
Driver License ID Number
Last Name of Driver 1
Mailing Address (Include Number & Street)
Mailing Address (Include Number & Street)
First Name M.I. Last Name of Driver 2 First Name M.I.
Name - exactly as printed on registration
Name - exactly as printed on registration
City or Town
Date of Birth
M F
Sex
State of License
State Zip Code City or Town State Zip Code
City or Town
No. of
Occupants
Estimated Cost of Repairs
Plate Number State
of Reg.
Vehicle Year & Make Vehicle Type
State
# of Years of Experience Driving School Bus _____________
Zip Code
City or Town
State Zip Code
Apt. No.
Mailing Address (Include Number & Street)
Apt. No.
Apt. No. Mailing Address (Include Number & Street) Apt. No.
Month Day Year
Date of Birth
M F
Sex
No. of
Occupants
Driver License ID Number
State of License
$1501 to $2000
$1001 to $1500
$1001 to $1500
$2001 to $2500
Over $2500
Plate Number State
of Reg.
Vehicle Year & Make Vehicle Type
City
Town of
Village
Miles N E
Feet S W of
At Intersection With
Describe damage to Vehicle 1
Describe damage to Vehicle 2
ACCIDENT DIAGRAM
County of Accident
Route No. or Street Name Route No. or Street Name
Nearest Intersecting Route/Street
±
MV-104F (5/07)
PAGE 4 OF 7
Rear End
Sideswipe
(same direction)
Sideswipe
(opposite direction)
Left Turn Right Angle
Right Turn
Head On
1.
2.
9.
4. 6. 8.
3.
5.
7.
Right Turn
Left
0.
DRIVER
REGISTRANT
VEHICLE DAMAGE
INSURANCE
SCHOOL/
VEHICLE
ACCIDENT
LOCATION
A representative may sign for the driver if the driver is unable to sign
because of injury or death. If you are signing as the driver’s
representative, check the box that describes why the driver cannot sign.
An accident report is not considered complete and filed unless it is
signed, and if not signed may result in the suspension of your driver’s
license and/or registration.
Injury
Death
*
DRIVER OF VEHICLE 1
VEHICLE 2
BICYCLIST
PEDESTRIAN
OTHER PEDESTRIAN
Date of Birth Sex
Month Day Year
Date of Birth Sex
Month Day Year
Month Day Year
BEFORE COMPLETING THIS FORM, READ THE INSTRUCTIONS IN SECTION A ON PAGE 6
ALL PERSONS INJURED OR KILLED (SEE INSTRUCTION 7 ON PAGE 6)
Name of All Persons Injured or Killed
Describe Injuries
If Deceased, Enter
Date of Death
INJURY SECTION
Check proper column(s).See instruction 7 on Page 6.
Which
Veh. Occ.
Safety
Equip. Used Age Sex
Seated/
Standing
ABC
NOTE: If more people were involved, use form MV-104F.1, CONTINUATION SHEET
ALL PERSONS INJURED OR KILLED
PAGE 5 OF 7
MV-104F (5/07)
reset/clear
DRIVER - Enter the information for each driver EXACTLY as it appears on his/her driver
license.
REGISTRANT - Enter registrant information EXACTLY as it appears on the registration of
each vehicle involved in the accident.
VEHICLE DAMAGE - Indicate if the accident exceeds the $1,000 threshold for property damage
to any one vehicle or property caused by the accident, and describe the vehicle damage.
ACCIDENT LOCATION - Enter the county, locality and street(s) where the accident
occurred. Check the box if there is an intersecting street.
ALL PERSONS INJURED OR KILLED -
List the names of all persons injured or killed in
the accident, and provide the date of death if anyone was killed in, or as a result of, the
accident. (Complete Form MV-104F.1, Continuation Sheet, if necessary.) In the ALL
PERSONS INJURED OR KILLED section of that form, provide the required information
for everyone else who was injured or killed in the accident. Enter the following codes in
the appropriate columns:
SEATED/STANDING CODES
D - Person was seated in the bus. E - Person was standing in the bus.
SCHOOL/VEHICLE - Enter the name of the school and information about the vehicle
involved in the accident.
1. None
2. Lap Belt
3. Shoulder Restraint
4. Lap Belt Restraint
5. Child Restraint Only
6. Helmet (Motorcycle Only)
7. Air Bag Deployed
C.Helmet Only
D.Helmet/Other
E.Pads Only
F. Stoppers Only
8. Air Bag Deployed/Lap Belt
9. Air Bag Deployed/
Shoulder Restraint
A. Air Bag Deployed/ Lap Belt/Restraint
B. Air Bag Deployed/Child Restraint
O. Other
SAFETY EQUIPMENT USED
In-Line Skater/Bicyclist
INJURY - Check all column(s) that apply and DESCRIBE INJURIES:
A - Severe lacerations, broken or distorted limbs, skull fracture, crushed chest, internal
injuries, unconscious when taken from the accident scene, unable to leave accident
scene without assistance.
B - Lump on head, abrasions, minor lacerations.
C - Momentary unconsciousness, limping, nausea, hysteria, complaint of pain (no visible
injury), whiplash (complaint of neck and head pain).
INSURANCE - Enter damage to private property, if any, insurance policy information and VIN.
Attach additional reports to page one. Each page of the report must be numbered in the
upper left corner. Mark additional sheets #2, #3, etc. Date and
sign on the bottom line of
each attached report. THE REPORT MUST
BE SIGNED BY THE DRIVER OF VEHICLE 1,
UNLESS HE OR SHE IS UNABLE TO SIGN BECAUSE HE/SHE IS INJURED OR DECEASED.
SEND THE REPORT AS FOLLOWS:
Copy 1: NYS Dept. of Motor Vehicles, Accident Records Bureau, 6 Empire State Plaza
PO Box 2925, Albany NY 12220-0925
Copy 2: NYS Education Department, Office of Educational/Management Services, Public
Transportation Unit, Room 876 EBA, 89 Washington Avenue, Albany NY 12234
Copy 3: NYS Dept. of Transportation, Bus Safety Section POD53, 50 Wolf Road,
Albany NY 12232
Copy 4: Keep for school records.
24
ROADWAY CHARACTER
1. Straight and Level 4. Curve and Level
2. Straight and Grade 5. Curve and Grade
3. Straight at Hillcrest 6. Curve at Hillcrest
LIGHT CONDITIONS
1. Daylight 3. Dusk 5.Dark-Road Unlighted
2. Dawn 4. Dark-Road Lighted
PEDESTRIAN/BICYCLIST/OTHER PEDESTRIAN ACTION
1. Crossing, With Signal
2. Crossing, Against Signal
3. Crossing, No Signal, Marked Crosswalk
4. Crossing, No Signal or Crosswalk
5. Riding/Walking/Skating Along Highway With Traffic
6. Riding/Walking /Skating Along Highway Against Traffic
7. Emerging from in Front of/Behind Parked Vehicle
8. Going to/From Stopped School Bus
9. Getting On/Off Vehicle Other Than School Bus
11. Working in Roadway
12. Playing in Roadway
13. Other Actions in Roadway
14. Not in Roadway
N
NE
SE
SW
NW
1
2
3
4
5
6
7
8
S
W
E
Veh.
1.
Veh.
2
Veh.
1
Veh.
2
First
Event
Veh.
1
Second
Event
6
7
5
26
27
28
29
Veh.
2
30
25
23
4
1
2
3
1. Other Motor Vehicle
2. Pedestrian
3. Bicyclist
4. Animal
5. Railroad Train
COLLISION WITH FIXED OBJECT
6. In-Line Skater
7. Deer
8. Other Pedestrian
10. Other Object (Not Fixed)
TYPE OF ACCIDENT
COLLISION WITH
11. Light Support/Utility Pole
12. Guide Rail - Not At End
13. Crash Cushion
14. Sign Post
15. Tree
16. Building/Wall
17. Curbing
18. Fence
19. Bridge Structure
20. Culvert/Head Wall
21. Median - Not At End
22. Snow Embankment
23. Earth Embankment/
Rock Cut/Ditch
24. Fire hydrant
25. Guide Rail - End
26. Median - End
27. Barrier
30. Other Fixed Object
NO COLLISION
31. Overturned 33. Submersion
32. Fire/Explosion 34. Ran Off Roadway Only
40. Other
11. Avoiding Object in Roadway
12. Changing Lanes
13. Passing
14. Merging
15. Backing
16. Making Right Turn on Red
17. Making Left Turn on Red
18. Police Pursuit
20. Other
1. Going Straight Ahead
2. Making Right Turn
3. Making Left Turn
4. Making U Turn
5. Starting from Parking
6. Starting in Traffic
7. Slowing or Stopping
8. Stopped in Traffic
9. Entering Parked Position
10. Parked
1. On Roadway 2. Off Roadway
MV-104F (5/07)
SECTION B
USE TO COMPLETE
BOXES 1-7 and 23-30 ON PAGE 1
1. North
2. Northeast
3. East
4. Southeast
5. South
6. Southwest
7. West
8. Northwest
1. Dry
2. Wet
3. Muddy
4. Snow/Ice
5. Slush
6. Flooded
0. Other
2. Cloudy
3. Rain
4. Snow
1. Clear
5. Sleet/Hail/Freezing Rain
6. Fog/Smog/Smoke
0. Other
1. None
2. Traffic Signal
3. Stop Sign
4. Flashing Light
5. Yield Sign
6. Officer/Guard
7. No Passing Zone
8. RR Crossing Sign
9. RR Crossing Flashing Light
10. RR Crossing Gates
11. Stopped School Bus-Red
Lights Flashing
12. Construction Work Area
13. Maintenance Work Area
14. Utility Work Area
15. Police/Fire Emergency
16. School Zone
20. Other
DIRECTION OF TRAVEL
PRE-ACCIDENT VEHICLE ACTION
LOCATION OF FIRST EVENT
WEATHER
TRAFFIC CONTROL
ROADWAY SURFACE CONDITION
SECTION A
You must report within 10 days any accident occurring in New York State causing death, personal
injury or damage over $1000 to the property of any one person. Failure to do so within 10 days
is a misdemeanor. Your license and/or registration may be suspended until a report is filed.
Fill in the 15 boxes to the right by entering the number of the item which best describes
the circumstances of the accident. If a question does not apply, enter a dash (-). If an
answer is unknown, enter an “x”.
*Don’t fold this internet
form. Instead, place page 6 over page 1, with the arrows on
page 6 pointing to the boxes on the right edge of page 1.
PEDESTRIAN/BICYCLIST/OTHER PEDESTRIAN LOCATION
1. Pedestrian/Bicyclist/Other Pedestrian at Intersection
2. Pedestrian/Bicyclist/Other Pedestrian Not at Intersection
VEHICLE INVOLVEMENT - If you were in an accident involving:
two-cars, enter your information in the VEHICLE 1 section and the other driver’s information in the
VEHICLE 2 section.
a pedestrian, bicyclist or other pedestrian (a person using a non-motorized conveyance such as
in-line skates, skateboard, sled, etc.), enter the information in the “Driver” spaces provided for
VEHICLE 2 and check the appropriate box.
a vehicle other than a motor vehicle (such as a snowmobile, mini-bike, aircycle, all-terrain
vehicle, trail bike, or other non-motor vehicle), enter the driver, registrant and vehicle information in
the space provided for VEHICLE 2.
an unoccupied vehicle, enter all available information. Be sure to enter the correct vehicle Plate
Number and Vehicle Type in the VEHICLE 2 block.
more than two vehicles, fill out additional accident reports. On these reports, place the
information for the third vehicle in the Space marked VEHICLE 1 and mark it # 3. Use the space
marked VEHICLE 2 for the fourth vehicle, and mark it # 4 and so on. Additional forms are available
at any Motor Vehicles office.
* Explain in Accident Description
PAGE 6 OF 7
Be sure your answers
are marked
INSIDE THE
BOXES ON
PAGE
1
SECTION C
Section 142 of the Vehicle and Traffic law defines a school bus as:
“Every motor vehicle owned by a public or governmental agency or private school and operated for the transportation of pupils,
children of pupils, teachers and other persons acting in a supervisory capacity, to or from school or school activities or privately owned
and operated for compensation for the transportation of pupils, children of pupils, teachers and other persons acting in a supervisory
capacity to or from school or school activities.”
NOTE: To report an accident on Form MV-104F, the following two conditions must apply:
1. the vehicle(s) involved in the accidents must be actually transporting one or more pupils, children of pupils, teachers or
supervisory personnel to or from school or a school activity; and
2. the transporting vehicle(s) must be either owned or contracted for by the school.
If both conditions are not met, you may be required to file Form MV-104, Report of Motor Vehicle Accident.
For additional forms, write:
NYS-DMV
Inventory Services
6 Empire State Plaza
Albany, New York 12228
Fax (518) 402-1189
PAGE 7 OF 7
MV-104F (5/07)
