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Pa School Bus Physical Form Dl 742
CODE
EMPLOYER
DRIVER E-MAIL
EMPLOYER PHONE #
A PERSON IS PHYSICALLY QUALIFIED TO OPERATE A SCHOOL BUS IF:
A. There is no loss or impairment of the use of a foot, a leg, a hand, or an arm. (waivers available see reverse side)
B. There is no medical history or clinical diagnosis of:
1. Diabetes mellitus currently requiring use of or any other hypoglycemic medication. (waivers available see reverse side)
2. Myocardial infarction, angina pectoris, coronary insufficiency, or...
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