Directions: All circuit clerks must use this form to report the conviction of certified/licensed school personnel of a felony or a sex offense as defined by Mississippi Code Annotated §37-351
Attach a certified copy of the indictment and judgment.
Mail to:
Office of Educator Misconduct Evaluations
Mississippi Department of Education
Post Office Box 771
Jackson, Mississippi 39205-0771
Miss. Code. tit. 7, pt. 3, ch. 14, app 7-3-14-A