NAC50.065. 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)