Nev. Admin. Code § 50.030
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
Nev. Admin. Code § 50.030
NRS 50.315