Nevada Code § 179.223

Application for issuance of requisition: By whom made; contents
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1. When the return to this state of a
person charged with crime in this state is required, the district attorney
shall present to the Governor a written application for a requisition for the
return of the person charged in which application must be stated:
(a) The name of the person so charged;
(b) The crime charged against the person;
(c) The approximate time, place and circumstances
of its commission;
(d) The state in which the person is believed to
be, including the location of the accused therein at the time the application
is made; and
(e) A certification that, in the opinion of the
district attorney, the ends of justice require the arrest and return of the
accused to this state for trial and that the proceeding is not instituted to
enforce a private claim.
2. When the return to this state is
required of a person who has been convicted of a crime in this state and has
escaped from confinement or broken the terms of the persons bail, probation or
parole, the district attorney of the county in which the offense was committed,
the State Board of Parole Commissioners, the Chief Parole and Probation
Officer, the Director of the Department of Corrections or the sheriff of the
county from which escape was made shall present to the Governor a written application
for a requisition for the return of the person, in which application must be
stated:
(a) The name of the person;
(b) The crime of which the person was convicted;
(c) The circumstances of the persons escape from
confinement or of the breach of the terms of bail, probation or parole; and
(d) The state in which the person is believed to
be, including the location of the person therein at the time application is
made.
3. The application must be verified by
affidavit, executed in duplicate and accompanied by two certified copies of the
indictment returned, or information and affidavit filed, or of the complaint
made to the judge or magistrate, stating the offense with which the accused is
charged, or of the judgment of conviction or of the sentence. The district
attorney, State Board of Parole Commissioners, Chief Parole and Probation
Officer, Director of the Department of Corrections or sheriff may also attach
such further affidavits and other documents in duplicate as deemed proper to be
submitted with the application. One copy of the application, with the action of
the Governor indicated by endorsement thereon, and one of the certified copies
of the indictment, complaint, information and affidavits, or of the judgment of
conviction or of the sentence must be filed in the Office of the Secretary of
State of the State of Nevada to remain of record in that office. The other
copies of all papers must be forwarded with the Governors requisition.

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