Nev. Admin. Code § 693A.560 - Signature of statements

The statement must be dated and signed in substantially the following manner:

I certify that all the information contained in this statement is true, complete and correct, to the best of my knowledge and belief.

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

(Date) (Signature of participant or authorized representative)

Notes

Nev. Admin. Code § 693A.560

Comm'r of Insurance, Schedule B item 5, eff. 5-13-72

NRS 679B.130