Ill. Admin. Code tit. 92 , 1030 app A
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).
Ill. Admin. Code tit. 92 , 1030 app A