Illinois school bus driver permit applicants need this seven-page physical exam form, revised January 2026. The driver completes a health history; the medical examiner records vitals, vision, hearing, urinalysis and a 14-system exam, then certifies the result in two steps: Part A after the exam and Part B once drug and tuberculosis results are in.
The driver completes Section 1 (health history and medications) and signs the Section 4 consent and declaration. The medical examiner completes Section 2 (exam), Section 3 (required testing) and both parts of the Medical Examiner's Certificate with a professional license number.
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School Bus Driver - Physical Examination and Certificate for Illinois
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New applicants, and re-applicants whose permits lapsed more than 30 days, need a tuberculosis test. For other re-applicants, the examiner checks for signs of tuberculosis and requires a test if any are present. A positive result is acceptable only with prophylactic treatment or inactive disease shown on X-ray.
No more than 90 days before the school bus permit application. A copy of the drug testing and control form is kept with the physical exam and certificate, and the examiner must determine whether a legitimate medical explanation exists for any positive result.
The rules bar insulin-requiring diabetes that is likely to interfere with safe school bus operation. The examiner instructions say that if insulin is needed, the physician must be satisfied the condition is under control and not likely to interfere with the applicant's ability to drive safely.