DOT Physical Amputation Limb Deficiency – Charlotte NC CDL Certification Guide

Medically reviewed by Dr. Lemuel P. Byrd, Jr., D.C., FMCSA Certified Medical Examiner | Last updated: January 27, 2026

Understanding Amputation and Limb Deficiency and DOT Physical Certification

Amputation or limb deficiency does not automatically disqualify you from commercial driving. The FMCSA’s SPE Certificate program provides a pathway for drivers who can demonstrate safe vehicle operation despite physical differences that don’t meet standard qualification requirements.

Thousands of commercial drivers operate safely with amputations, using prosthetic devices or adaptive equipment. The key is demonstrating your ability to safely control the vehicle through the SPE road test, which evaluates your actual driving skills rather than physical appearance.

At Charlotte DOT Exam Center, we work with drivers pursuing SPE certificates and can complete the medical examination portion of your application. Our examiners understand the SPE process and can help document your functional capabilities accurately.

What Is Amputation and Limb Deficiency?

Amputation refers to the loss of a limb or part of a limb, whether from injury, disease, or congenital difference. For DOT purposes, the concern is whether you can safely operate all vehicle controls and perform required safety functions, with or without prosthetics or adaptive equipment.

How Common Is Amputation and Limb Deficiency?

Approximately 2 million Americans live with limb loss, with about 185,000 amputations performed annually. Many amputees maintain active careers including commercial driving. Advances in prosthetic technology have significantly expanded capabilities for drivers with limb differences.

FMCSA Standards for Amputation and Limb Deficiency

The FMCSA physical qualification standards are found in 49 CFR 391.49 – SPE Requirements. According to the FMCSA SPE Certificate Program, amputation and limb deficiency affects many Americans, including commercial drivers.

The FMCSA evaluates amputation and limb deficiency based on functional capacity—your ability to safely operate a commercial motor vehicle. Key factors the medical examiner considers include:

• Current condition status: Is your condition stable and well-managed?
• Functional ability: Can you perform all required commercial driving tasks?
• Medication effects: Do your medications impair driving ability?
• Safety risk: Could your condition cause sudden incapacitation?
• Documentation: Do you have adequate records supporting certification?

For additional information, see the Amputee Coalition and CDC Disability Inclusion.

Common Questions About Amputation and Limb Deficiency and CDL Certification

Commercial drivers with amputation and limb deficiency often have similar questions. Here are the most common questions we answer at Charlotte DOT Exam Center:

Can I get a CDL with an amputation?

Yes, through the FMCSA’s Skill Performance Evaluation (SPE) Certificate program. You must demonstrate safe vehicle operation through a road test. Many drivers with upper or lower limb amputations drive commercially with prosthetics or adaptive equipment.

What is the SPE Certificate?

The SPE Certificate is an FMCSA exemption that allows drivers with certain physical conditions to operate commercial vehicles after demonstrating safe driving ability through a skills test. It’s required for drivers with amputations that don’t meet standard physical qualifications.

How do I apply for an SPE Certificate?

Submit an application to FMCSA including your medical examination, description of your condition, and documentation of your ability to operate vehicle controls. You’ll then complete a road test administered by your state or an approved third party.

Can I use a prosthetic while driving commercially?

Yes, prosthetic devices are permitted for commercial driving. Your prosthetic must allow safe operation of all required controls. Document your prosthetic use and any adaptive equipment in your SPE application.

How long does the SPE process take?

The typical processing time is 60-180 days after submitting a complete application. The road test can often be scheduled before FMCSA approval, with results submitted as part of your application.

What vehicles can I drive with an SPE?

Your SPE Certificate will specify which vehicle types you’re approved to operate. Some SPEs are limited to specific configurations based on your demonstrated abilities during the road test.

How long is an SPE Certificate valid?

SPE Certificates are valid for 2 years and must be renewed. Renewal requires updated medical examination and continued demonstration of safe driving ability.

What if my amputation is recent?

For recent amputations, you’ll need to wait until you’ve adjusted to your prosthetic and can safely operate a commercial vehicle. This typically means completing rehabilitation and prosthetic training before applying for an SPE.

Amputation and Limb Deficiency and Commercial Driving Medications

Understanding which medications are compatible with commercial driving helps you prepare for your DOT physical and communicate effectively with your medical examiner.

Certification Duration Based on Amputation and Limb Deficiency Status

Your DOT medical certificate duration depends on your condition’s status, treatment effectiveness, and documentation provided:

What to Bring: Documentation Checklist

Proper documentation streamlines your DOT physical and supports certification. Gather these items before your appointment:

Related Conditions and Resources

Drivers with amputation and limb deficiency may have related conditions also evaluated during the DOT physical:

• DOT Physical Medical Conditions
• SPE certificate requirements
• arthritis evaluation
• chronic pain management
• post-surgery clearance

For complete information, see our DOT Physical Medical Conditions hub page.

Additional Resources

• FMCSA SPE Certificate Program
• FMCSA Physical Qualifications

Frequently Asked Questions

Can I drive commercially with an amputation?

Yes, through the SPE Certificate program after demonstrating safe vehicle operation.

What is the SPE Certificate?

An FMCSA exemption allowing drivers with certain physical conditions to operate CMVs after passing a skills test.

Can I use a prosthetic?

Yes, prosthetics and adaptive equipment are permitted for commercial driving.

How long does the SPE process take?

Typically 60-180 days for a complete application.

How long is the SPE valid?

2 years, with renewal required.

What about recent amputations?

Wait until you’ve adjusted to your prosthetic and completed rehabilitation.

Schedule Your DOT Physical at Charlotte DOT Exam Center

Charlotte DOT Exam Center provides expert DOT physical examinations for commercial drivers with amputation and limb deficiency. Our FMCSA-certified medical examiners—Dr. Alan M. Tebby, D.C. and Dr. Lemuel Byrd—have extensive experience with this condition.

Questions? Call us at 704-544-3494 to discuss your amputation and limb deficiency and DOT certification requirements.