N.D. Cent. Code § 11-28.3-04

The ballot on the question of forming a rural ambulance service district must be in substantially the following form: Shall (name of taxing district or districts) levy a tax of not to exceed _______ mills for the purpose of forming a rural ambulance district? Yes ☐ No ☐ If a majority of all the votes cast on the question of levying a tax and forming a rural ambulance service district are in favor of such a tax levy, then the formation of the district is approved.