https://www.csn.edu/__data/assets/word_doc/0015/110085/affidavit_of_re…
AFFIDAVIT OF REJECTION OF COVERAGE. FOR WORKERS’ COMPENSATION. UNDER NRS 616B.627 and NRS 617.210. STATE OF NEVADA ). ) ss. _________ COUNTY ). ___________________, being first duly sworn, deposes and states:. 1. I make the following assertions