Form DMM-104C Accident Report - Virginia

Form DMM-104C Accident Report - Virginia

What Is Form DMM-104C?

This is a legal form that was released by the Virginia Department of Mines, Minerals and Energy - a government authority operating within Virginia. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form DMM-104C?
A: Form DMM-104C is an accident report form used in the state of Virginia.

Q: What is the purpose of Form DMM-104C?
A: The purpose of Form DMM-104C is to report accidents that occur in Virginia.

Q: Who is required to fill out Form DMM-104C?
A: Any individual involved in an accident in Virginia, where property damage exceeds $1,500 or there are injuries or fatalities, is required to fill out Form DMM-104C.

Q: What information is required on Form DMM-104C?
A: Form DMM-104C requires information such as the date, time, and location of the accident, details about the vehicles involved, driver information, insurance information, and a description of the accident.

Q: When should Form DMM-104C be submitted?
A: Form DMM-104C should be submitted within 24 hours if there are injuries or fatalities, and within 10 days for property damage exceeding $1,500.

Q: Are there any fees associated with submitting Form DMM-104C?
A: No, there are no fees associated with submitting Form DMM-104C.

ADVERTISEMENT

Form Details:

  • Released on May 1, 2016;
  • The latest edition provided by the Virginia Department of Mines, Minerals and Energy;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form DMM-104C by clicking the link below or browse more documents and templates provided by the Virginia Department of Mines, Minerals and Energy.

Download Form DMM-104C Accident Report - Virginia

4.6 of 5 (69 votes)
  • Form DMM-104C Accident Report - Virginia, Page 1
ADVERTISEMENT