# 92 Ill. Adm. Code 1035.APPENDIX: Section 1035.APPENDIX A School Bus Driver Permit Medical Examiner's Certificate

> Illinois · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T92_P1035_S1035_APPENDIX

## Section

- **Citation:** 92 Ill. Adm. Code 1035.APPENDIX
- **Heading:** Section 1035.APPENDIX A School Bus Driver Permit Medical Examiner's Certificate
- **Jurisdiction:** Illinois
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Illinois Administrative Code / Title 92 TRANSPORTATION / CHAPTER II: SECRETARY OF STATE / Part 1035 SCHOOL BUS DRIVER PERMIT / Section 1035.APPENDIX A   School Bus Driver Permit Medical Examiner's Certificate

## Text

Section 1035.APPENDIX A   School Bus Driver Permit
Medical Examiner's Certificate
Part
A
Medical
Examiner's Preliminary Certification
NOTE:
The medical
examiner shall provide one completed and signed certificate to the applicant.
A copy of the completed and signed certificate is to be forwarded by the
medical examiner to the employing agency or organization of the applicant. One
copy is to be retained by the medical examiner.
I certify that I have completed
Part A of the school bus examination of
on
in accordance with
the provisions of 92 Ill. Adm.
Code 1035.20 and, based upon that examination, find he/she is:
Qualified under the
regulations
Qualified only when wearing
corrective lenses
Qualified only when wearing a
hearing aid
Not qualified under the
regulations
Name of Medical Examiner
Professional License Number
of Medical Examiner
NOTE:  COMPLETION OF PART A
ONLY DOES NOT QUALIFY THE APPLICANT.  TEST RESULTS MUST BE CERTIFIED IN PART B
BEFORE THE APPLICANT CAN BE CONSIDERED QUALIFIED.
Part
B
Final Medical Examiner's Certification
Date of TB Results:
Date of Drug Test Results:
I certify
that I have completed my examination, including my readings
of the drug and TB test
results, for
on
in accordance with the
provisions of 92 Ill. Adm.
Code 1035.20. Based upon the results of drug and TB testing required by
92 Ill. Adm. Code 1035.20(j)(11) and (j)(13) and having no positive test
results for infectious disease, or having determined that he/she is not
contagious when performing the normal duties of a school bus driver, I find
that he/she is:
Qualified under the
regulations
Not qualified due to positive
drug test
Not qualified due to positive
tuberculosis test
Name
of Medical Examiner
Professional License Number
of
Medical Examiner
Phone Number of
Medical Examiner
Signature
of Medical Examiner
Fax Number of
Medical Examiner
Date of Certification
(Date the medical examiner
has received all test results)

## Nearby sections

- [92 Ill. Adm. Code 1035.15 Section 1035.15  Requirements of Applicants for a School Bus Driver Permit](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T92_P1035_S1035_15.md)
- [92 Ill. Adm. Code 1035.20 Section 1035.20  Annual Medical Examination and Certificate](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T92_P1035_S1035_20.md)
- [92 Ill. Adm. Code 1035.30 Section 1035.30  Training](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T92_P1035_S1035_30.md)
- [92 Ill. Adm. Code 1035.32 Section 1035.32  Random Drug Testing for Alcohol and Controlled Substances](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T92_P1035_S1035_32.md)
- [92 Ill. Adm. Code 1035.35 Section 1035.35  Denial, Cancellation, or Suspension of a School Bus Driver Permit](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T92_P1035_S1035_35.md)
- [92 Ill. Adm. Code 1035.40 Section 1035.40  Notice](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T92_P1035_S1035_40.md)
- [92 Ill. Adm. Code 1035.45 Section 1035.45  Employer Responsibility](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T92_P1035_S1035_45.md)
- [92 Ill. Adm. Code 1035.46 Section 1035.46  Military Deferrals](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T92_P1035_S1035_46.md)
- [92 Ill. Adm. Code 1035.50 Section 1035.50  Hearings](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T92_P1035_S1035_50.md)
- [92 Ill. Adm. Code 1035.APPENDIX Section 1035.APPENDIX  A   School Bus Driver Permit Medical Examiner's Certificate](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T92_P1035_S1035_APPENDIX.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T92_P1035_S1035_APPENDIX. Check the current official text before relying on it. Not legal advice.