Wisconsin drivers holding or applying for a school bus (S) or passenger (P) endorsement need this physical examination report before WisDOT considers licensing under Trans 112. It combines a required vision section with numerical acuity, temporal field and color recognition, an applicant health history, and a clinician review of conditions such as seizures, diabetes, sleep disorders and heart disease.
The applicant completes Section A for both S and P endorsements and signs a release to the employer, school board and WisDOT. The health care professional completes the vision section and Section B for S endorsement applicants, and signs with a license number.
Download the current version from the source each time; forms change without notice.
Physical Examination Report for S or P Endorsement
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The examiner certifies they are licensed to practice as an MD, DO, PA-C, APNP or chiropractor (DC). Chiropractors must add their National Registry number. If a different examining authority performed the vision portion, that person signs the vision section separately with their license number and date.
The vision section requires numerical acuity readings for each eye, uncorrected and corrected. It asks whether the temporal field is at least 70 degrees from center in each eye, whether the applicant can recognize red, amber and green, and whether corrective lenses are required when driving.