Nevada Administrative Code
Chapter 50 - Witnesses
Section 50.030 - Form of affidavit regarding preparation of solution or gas used in calibrating breath-testing device
An affidavit which is referred to in subsection 2 of NRS 50.315 must be in substantially the following form:
State of Nevada }
}ss.
County of............................... }
I, ........................., being first duly sworn, depose and say:
That I am a ............... (occupation) employed by ................ (employer);
That on ......................... (date) I prepared a ............... (chemical solution or gas) consisting of ................ (description and composition of solution or gas) as necessary for accurately calibrating the ................ (name of device).
I do hereby swear under penalty of perjury that the assertions of this affidavit are true.
...........................................................
Affiant's Signature
...........................................................
Affiant's Title
Subscribed and sworn to before me this
............. day of the month of ........... of the year ......
...................................................................................
Notary Public
Added to NAC by Com. on Testing for Intoxication, eff. 10-26-83; A 7-18-88; R112-97, 5-26-98
NRS 50.315
