Section 1030.APPENDIX A   Questions Asked of a Driver's License Applicant

The following questions shall appear on or be provided with an application for a driver's license:

If you are applying for an Identification (ID) Card review questions 1 and 2; for a Driver's License, review questions 1 through 7; for a Commercial Driver's License, review questions 1 through 10.

1)         Is your driver's license or ID card or privilege to obtain a license or ID card suspended, revoked, canceled or refused in any state or country under this or any other name?  (If yes, a letter of clearance is required.)

2)         Do you presently hold a valid driver's license or ID card in this or any other state?

3)         Is your driver's license being held by a court in lieu of bail?

4)         Are you currently under a court order of guardianship? (If yes, a medical report is required.)

5)         Do you have any condition that might cause a temporary loss of consciousness?  (If yes, a physician's statement and a signed medical agreement are required.)

6)         Do you have any mental or physical condition that might interfere with safe driving?  (If yes, a physician's statement and a signed medical agreement are required.)

7)         Do you use any drugs, including prescription medication, or alcohol to an extent that they impair your driving ability or has a court committed you to a mental health facility within the last 4 years? (If yes, a medical report is required.)

8)         If you are under age 18 and this is your initial application for a Graduated Driver's License, have you been issued any citation for which a disposition has not yet been rendered by a court of law?

9)         Are your commercial driver's license privileges currently disqualified or subject to an out-of-service order?

10)____ Do you certify that you meet the "Qualifications of Driver's" portion of Part 391 of the Federal Motor Carrier Safety Regulations and operate in non-excepted interstate commerce? (If the applicant answers yes to this question, the applicant checks a box marked "NI". If the applicant answers no to this question, the applicant must check one of 3 boxes that set forth the type of driving in which the applicant will engage.)

11)         Do you certify that you meet the hearing requirements outlined in 49 CFR 391.41(b)(11)?

I understand that my social security number will be disclosed to other states pursuant to the Commercial Motor Vehicle Safety Act of 1986 (applies only to CDL applicants).

(Source:  Amended at 38 Ill. Reg. 20039, effective October 1, 2014)