There are a few exceptions for the seat belt requirement in the state of North Dakota:
- in vehicles not originally manufactured with seat belts (prior to January 1, 1965)
- drivers of implements of husbandry or farm vehicles
- rural mail carriers, while on duty
- occupants with a medical or physical disability who possess a signed statement from a qualified physician
- If 18 or older and all seat restraints are in use by other occupants