Nevada Administrative Code
Chapter 50 - Witnesses
Section 50.065 - Form of declaration regarding custody of sample or other evidence

A declaration referred to in subsection 5 of NRS 50.315 must be in substantially the following form:

I, ................., hereby declare:

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).

I declare under penalty of perjury that the foregoing is true and correct.

Executed on ......................................... .............................................................................

(Date) (Declarant's Signature)

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

(Declarant's Title)

Added to NAC by Com. on Testing for Intoxication by R112-97, eff. 5-26-98

NRS 50.315