North Dakota Code § 39-21-41.4

Use of safety belts required in certain motor vehicles - Enforcement -
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Evidence.
A driver may not operate upon a highway a motor vehicle designed for carrying fewer than 
eleven passengers, which was originally manufactured with safety belts unless each occupant is 
wearing a properly adjusted and fastened safety belt. This section does not apply to a child in a 
child restraint or safety belt in accordance with section 39 -21-41.2; to drivers of implements of 
husbandry; to operators of farm vehicles as defined in subsection 5 of section 39-04-19; to rural 
mail carriers while on duty delivering mail; to an occupant with a medical or physically disabling 
condition that prevents appropriate restraint in a safety belt, if a qualified physician , physician 
assistant, or advanced practice registered nurse states in a signed writing the nature of the 
condition and the reason restraint is inappropriate; to an occupant who is an emergency medical 
services personnel, during the provision of direct patient care; or when all safety belts are in use 
by other occupants. A physician , physician assistant, or advanced practice registered nurse 
who, in good faith, provides a statement that restraint would be inappropriate is not subject to 
civil liability. A violation for not wearing a safety belt under this section is not, in itself, evidence 
of negligence. The fact of a violation of this section is not admissible in any proceeding other 
than one charging the violation.

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