Nevada § 108.620 - Form of notice

§ 108.620. Form of notice

The form of the notice required by NRS 108.610 must be substantially as follows: Notice is hereby given that ________________________________ has rendered services in hospitalization for ________________________________, a person who was injured on the _______ day of the month of _______ of the year _______ in the city of ________________, county of ________________________________, on or about the _______ day of the month of _______ of the year _______; and that ________________________________ (name of claimant) hereby claims a lien upon any money due or owing or any claim

for compensation, damages, contribution, settlement or judgment from ________________________________, alleged to have caused the injuries, or any other person, corporation or association

liable for the injury. The hospitalization was rendered to the injured person between the _______ day of the month of _______ of the year _______ and the _______ day of the month of _______ of the year _______ Itemized Statement That 90 days have not elapsed since the termination of hospitalization; that the

claimant's demands for such care or service is in the sum of $ ________________ and that no part thereof has been paid except $ ________________; and that there is now due and owing and remaining unpaid of such sum, after deducting

all credits and offsets, the sum of $ ________________, in which amount lien is hereby claimed. I, ________________________________, being first duly sworn, on oath say: That I am ________________________________, named in the foregoing claim of lien; that I have read the same and know the contents

thereof and believe the same to be true. ______________________________ Subscribed and sworn to before me this _______ day of the month of _______ of the year _______ ______________________________ Notary Public in and for the above-named county and state.