Nevada Administrative Code
Chapter 50 - Witnesses
Section 50.060 - Form of affidavit regarding custody of sample or other evidence

An affidavit referred to in subsection 5 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 received from ................ (name of person) certain evidence bearing Identification No. ..... of the ................ (law enforcement agency), consisting of ................ (description of evidence); and

That I kept the evidence in my sole custody or control and in substantially the same condition as when I first received it until on ......................... (date) when I delivered the evidence to ................ (name of person).

...........................................................

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 by R112-97, 5-26-98

NRS 50.315