North Dakota Code § 32-39-02

Voluntary service or payment not admission of liability
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No receipt of a voluntary service or partial payment of a claim, including a claim of medical 
malpractice, against any person based on alleged liability of that person for injury or damage 
arising out of any occurrence may be construed as a waiver or release of the claim by the 
person receiving the service or payment, unless a written waiver or release is given. No receipt, 
provision, or payment of a voluntary service or partial payment of a claim may reduce the 
amount of damages which may be pleaded and proved in a court proceeding between the 
parties.

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