VERIFICATION OF TEACHING EXPERIENCE FOR REMOVAL OF LIMITATIONS ON LIMITED LEARNING BEHAVIOR SPECIALIST (LBS I) ENDORSEMENT - ISBE 73-83 - Instructions

Oct 10, 2026

Form used by educators to request removal of limitations on the Learning Behavior Specialist I (LBS I) endorsement. It requires completing identification and certification details, selecting the primary disability type (e.g., autism, TBI, LD, S/ED, EMH, TMH, PH), and affirming at least three years of full-time teaching experience. Verification instructions direct submission through the educator’s district superintendent and regional superintendent for endorsement consideration. Employer verification section requires perjury certification and an attached letter of assurance.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages2

Reading Time5 min

AccessFree to download

Educator instructions and submission route

Disability and endorsement limitation criteria

Educator identification and certificate details

Experience claim checkboxes

Full-time teaching experience definition

Applicant perjury certification

Employer verification and letter of assurance

Use your "Mouse" or "Tab" key to move through the fields and check boxes. After completing last field, save document to hard drive to make future updates or click Print button. 100 North First Street, E-240 Springfield, Illinois 62777-0001 !73-83! VERIFICATION OF TEACHING EXPERIENCE FOR REMOVAL OF LIMITATIONS ON LIMITED LEARNING BEHAVIOR SPECIALIST (LBS I) ENDORSEMENT EDUCATOR EFFECTIVENESS DEPARTMENT INSTRUCTIONS: Please complete and sign this form and submit it to your district superintendent or chief administrator along with any necessary documentation for verification. If you wish the Illinois State Board of Education to consider evidence of teaching experience in more than one school district, joint agreement, or cooperative, please submit the form to the superintendent of the other district(s) or chief administrator(s) of the other employer(s) for verification. You may use separate forms for each superintendent or chief administrator. After obtaining verification from the superintendent(s) or chief administrator(s), please send this form to the regional superintendent of schools for the region where your certificate(s) is/are registered. City of Chicago residents may have their school district send us this completed form directly. Forms can be mailed to the address listed above or emailed to [licensureforms@isbe.net](licensureforms@isbe.net) Forms submitted by the educator will not be honored. For purposes of removing the limitations on your LBS I/limited endorsement as provided in Section 25.46(g) (6) of the Transition Rules: You may claim experience in teaching students with one disability for which you do not hold a credential as follows: • If you have an endorsement (or another state’s comparable credential) valid for teaching students with learning disabilities (LD) or social/ emotional disorders (S/ED), you must submit verification of at least three years’ full-time teaching experience in serving students with one of the primary disabilities of educable mentally handicapped (EMH), trainable mentally handicapped (TMH) or physically handicapped (PH) . OR • If you have an endorsement (or another state’s comparable credential) valid for teaching students who are EMH, TMH or PH, you must submit verification of at least three years’ full-time teaching experience in serving students with one of the primary disabilities of LD or S/ ED. For purposes of removing the limitations on your LBS I/limited endorsement as provided in Section 25.46(g)(7) . If you have an endorsement (or another state’s comparable credential) valid for teaching students with LD or S/ED, or EMH, TMH or PH students, you may claim experience in teaching students with the primary disability of either autism or traumatic brain injury (TBI) by submitting verification of at least three years’ full-time teaching experience* in serving students with either disability. | NAME (Last, First, Middle, Maiden) | IEIN | | --- | --- | | ADDRESS (Street, City, State, ZIP Code) | HOME TELEPHONE (Include Area Code) | | EMAIL | WORK TELEPHONE (Include Area Code) | | EMPLOYED BY (Name of District, Joint Agreement or Cooperative) | NAME OF SUPERVISOR | | ADDRESS (Street, City, State, ZIP Code) | TELEPHONE (Include Area Code) | | CERTIFICATE(S) HELD | TYPE | NUMBER | ENDORSEMENT(S) | DATE ISSUED | | --- | --- | --- | --- | --- | | | | | | | | | | | | | | | | | | | TYPE OF EXPERIENCE CLAIMED (Check one only) : Autism TBI LD S/ED EMH TMH PH I affirm that I have at least three years’ full-time teaching experience * in servicing students with the primary disability checked above | at: NAME OF SCHOOL DISTRICT(S) OR OTHER EMPLOYER(S) | DATES TEACHING STUDENTS WITH DISABILITY INDICATED | | --- | --- | | | | | | | | | | * "Full-time teaching experience" means providing instruction to no fewer than three students with the type of disability indicated on a daily basis for no fewer than two hours per day. ISBE 73-83 (2/23

FAQs

What information must the educator complete on this form?

The educator must provide name, employment information, certificate details, the type of experience claimed, and affirm that the required teaching experience criteria are met.

How is “full-time teaching experience” defined for claiming eligibility?

It means providing instruction to no fewer than three students with the indicated primary disability daily for no fewer than two hours per day.

What must the employer or district verify?

The employer agent must certify the educator was assigned to teach the specified disability type for the stated number of years and provided instruction to at least three students daily for no fewer than two hours for each year of full-time experience claimed.

Oct 10, 2026

Uploaded by Chumphorn