Professional Licensing Appeal - Mississippi

PROFESSIONAL LICENSING APPEAL — MISSISSIPPI

Before you use this: Select the review route supplied by the statute governing this board and this decision. Complete only the matching route below. A nursing appeal goes to chancery court under § 73-15-31(10); an appraiser-board appeal goes to circuit court under § 73-34-43. Certiorari under §§ 11-51-93 and 11-51-95 is a separate, discretionary procedure for a qualifying inferior tribunal, with its own petition, affidavit, bond, and timing. Do not combine the routes.

Route and filing details

Board and license type: [________________________________]

Final order date: [__/__/____] Date notice was served or received: [__/__/____]

☐ Nursing: Full Board decision under § 73-15-31(10). File in the chancery court of the licensee's county of residence. The statute calls for an appeal within 30 days after notice and a notice of appeal with a $100 bond and two sureties approved by the board president, or a $100 deposit with the chancery clerk in lieu of bond. Confirm the precise filing and service steps under the current court and board rules.

☐ Real estate appraisal: Board decision under § 73-34-43. File the notice of appeal with the circuit court clerk in the aggrieved person's county of residence or the First Judicial District of Hinds County. The section uses both service of notice and receipt of the final order in its 30-day language; calendar from the earlier applicable date. Obtain the clerk's order directing the board to certify its record.

☐ Other licensing board: Governing appeal statute or rule: [________________________________]. Reviewing court: [________________________________]. Venue: [________________________________]. Deadline and triggering event: [________________________________]. Required notice, petition, fee, bond, record, and service: [________________________________]. Use this form only after confirming that route.

☐ Certiorari only if applicable: For a qualifying quasi-judicial inferior tribunal, §§ 11-51-93 and 11-51-95 permit a petition for writ of certiorari in circuit court within six months of the judgment, supported by an affidavit, showing good cause, with bond and security. Review is discretionary. Confirm whether a board-specific statutory appeal controls and whether this tribunal qualifies before selecting this route. Use the separate verification below.

Administrative review completed, if required: [________________________________]

Filing deadline calculated from the selected route: [__/__/____]

Appeal or petition

IN THE [CHANCERY/CIRCUIT] COURT OF [COUNTY] COUNTY, MISSISSIPPI

Civil Action No.: [________________________________]

[NOTICE OF APPEAL AND PETITION FOR JUDICIAL REVIEW / PETITION FOR WRIT OF CERTIORARI]

[PETITIONER/APPELLANT], through [COUNSEL / SELF-REPRESENTED PARTY], seeks review of the [BOARD]'s final order and states:

1. Petitioner holds or applied for a [TYPE] license, No. [NUMBER], and resides in [COUNTY] County, Mississippi.

2. The board issued its final order on [DATE]. The order [DESCRIBE ACTION]. Petitioner received or was served with notice on [DATE]. A copy of the order is attached as Exhibit A.

3. The governing review route is [EXACT STATUTE OR RULE]. This [CHANCERY/CIRCUIT] Court has jurisdiction under that authority because [FACTS SHOWING THIS DECISION AND BOARD FIT THE SELECTED ROUTE]. Venue is proper because [FACTS AND GOVERNING VENUE PROVISION].

4. This filing is timely because [TRIGGER, COMPUTATION, DEADLINE, AND FILING DATE]. Petitioner completed the following required administrative review: [DETAILS, OR EXPLAIN WHY NONE IS REQUIRED].

5. The administrative proceedings relevant to this appeal were: [HEARING DATES, PANEL OR FULL-BOARD ACTION, AND RECORD IDENTIFIERS].

6. The order should be [REVERSED / MODIFIED / REMANDED] for these preserved reasons, with record citations and the applicable review standard:

a. [SPECIFIC ERROR, GOVERNING AUTHORITY, RECORD PAGE]

b. [SPECIFIC ERROR, GOVERNING AUTHORITY, RECORD PAGE]

c. [ADDITIONAL ERROR, IF ANY]

7. The requested relief is [PRECISE RELIEF AUTHORIZED BY THE SELECTED ROUTE]. Petitioner [DOES / DOES NOT] request a separate stay, under [AUTHORITY], on the grounds stated in the attached motion, if any.

WHEREFORE, Petitioner asks the Court to accept this filing under the selected review statute, obtain or review the administrative record as that statute directs, grant the relief stated in paragraph 7, and award any other relief authorized by law.

Date: [__/__/____]

Signature: [________________________________]

Printed name and bar number, if counsel: [________________________________]

Address: [________________________________]

Telephone and email: [________________________________]

Certiorari affidavit — use only for the §§ 11-51-93 and 11-51-95 route

I, [NAME], being first duly sworn, state from personal knowledge that the factual statements in paragraphs [NUMBERS] above are true, that the attached order is a true copy of the tribunal's decision, and that the good cause for issuance of the writ is [SPECIFIC FACTS].

Affiant signature: [________________________________] Date: [__/__/____]

Sworn to and subscribed before me on [__/__/____].

Notary signature: [________________________________] Commission expires: [__/__/____]

Filing and record checklist

☐ Correct court and venue selected from the governing statute.

☐ Board order and proof of notice date attached.

☐ Required internal board appeal completed and documented.

☐ Route-specific notice, petition, affidavit, fee, and bond or deposit completed.

☐ Administrative record and transcript requested under the governing procedure.

☐ Service completed on every recipient required by the governing statute and court rule; proof retained.

☐ Separate stay motion filed if authorized and needed; filing an appeal alone is not stated here to stay discipline.

Sources and references

• Mississippi Board of Nursing, 2026 Rules of Procedure, Part 2825, rules 1.10–1.11
• Mississippi Board of Nursing, Disciplinary Action and Appeals
• Mississippi Real Estate Appraisal Board, License Law
• Mississippi Supreme Court, Mississippi Division of Medicaid v. Alliance Health Center, No. 2013-IA-00436-SCT