Nev. Admin. Code § 50.060
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
Nev. Admin. Code § 50.060
NRS 50.315