Nevada Revised Statutes Title 42. Protection from Fire; Explosives § 475.230. Claim by fire department to recover direct expenses and losses incurred while fighting fire on property of State

(a) The name, address and jurisdictional limits of the fire department;

(b) The name, address and telephone number of the person making the claim on behalf of the fire department;

(c) The name and address, if known, of the state agency having jurisdiction over the property on which the fire occurred;

(d) The exact location of the fire;

(e) A description of the property burned;

(f) The number and classification of the personnel and the number and type of equipment used to fight the fire;

(g) A copy of the fire report; and

(h) An itemized list of direct expenses and losses incurred while fighting the fire, including the purchase cost, estimated cost of repairs and a statement of depreciated value immediately preceding and after the damage to or destruction of any equipment and the extent of any insurance coverage.

(a) The depreciated value, if any, of any equipment or vehicle which was damaged or destroyed; and

(b) If the employer maintains a plan which supplements coverage for workers' compensation provided pursuant to chapters 616A to 616D, inclusive, or chapter 617 of NRS by a private carrier and, if the benefits are provided from public money and not by an insurer, any injury or death benefits which would have been paid by the employer from public money.