Nevada State Board of Cosmetology
Petition to Appear before Board
This form is a formal request to appear before the board at a future board meeting. Typically people petition the board to request a law variance, request a review of a regulation or law, appeal a violation, request a fine reduction, or other formal administrative review. 

Attendance at a future board meeting may be required.
Start Petition
 
What is your full name? *

Please enter First, Middle, then Last Name.
 
What is your license number?

Please enter your license number, if applicable. (S-1234, A-1234, C-1234, etc.)
 
What is your mailing address? *

Please enter full address (number, street, apt #, city, state, zip)
 
What is your contact phone number? *

 
Please select the purpose for petitioning to appear before the Board. *


 
Please describe in detail the reason for disputing the violation.

 
Please describe in detail the reason for requesting a reduced fine amount.

 
What is the violation number?

Please enter violation number.
 
What is the date of the violation?

Please enter date violation was issued (DD/MM/YYYY)
 
What was the violation issued for?

Please enter reason for violation
 
Would you like to upload photographs or documents for the Board to review?

     
 
Upload here.

 
Request a Review of the Nevada Revised Statute or Nevada Administrative Code

 
Please specifically reference the Nevada Revised Statutes (NRS) and the Nevada Administrative Code (NAC) that you request to have reviewed by the Board. *

NRS 644.### or NAC 644.###
 
Please summarize the requested review or modification to the NRS or NAC.

 
What are the expected or anticipated benefits if modified?

For example: This law change would protect consumers and increase the ability for businesses to innovate...
 
Please upload any additional information that you would like to share.

 
Request a Variance to the Nevada Administrative Code

 
Please specifically reference the Nevada Administrative Code (NAC) that you are requesting the Board to review for a variance . *

NAC 644.###
 
Please summarize the reason for requesting the variance to the NAC. *

 
Please upload any information or documentation that you would like the Board to review.

 
You have selected other.  Please explain the reason for your request to appear before the Board in detail. *

 
Please upload any documentation or information that you would like the Board to review.

Thank you for completing the Petition to Appear before Board.  

A staff member will review the petition and contact you regarding the future board meeting date.
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