28 USC App, FEDERAL RULES OF CIVIL PROCEDURE, Form 34: Consent to Exercise of Jurisdiction by a United States Magistrate Judge
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28 USC App, FEDERAL RULES OF CIVIL PROCEDURE, Form 34: Consent to Exercise of Jurisdiction by a United States Magistrate Judge
From Title 28-AppendixFEDERAL RULES OF CIVIL PROCEDUREAPPENDIX OF FORMS
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Form 34. Consent to Exercise of Jurisdiction by a United States Magistrate Judge

UNITED STATES DISTRICT COURT

____________ DISTRICT OF ____________

  Plaintiff,

vs.    

}Docket No. ________

  Defendant.

CONSENT TO JURISDICTION BY A UNITED STATES MAGISTRATE JUDGE

In accordance with the provisions of Title 28, U.S.C. §636(c), the undersigned party or parties to the above-captioned civil matter hereby voluntarily consent to have a United States magistrate judge conduct any and all further proceedings in the case, including trial, and order the entry of a final judgment.

____________   XXXXXXXXXXXXXX

  Date      Signature

Note: Return this form to the Clerk of the Court if you consent to jurisdiction by a magistrate judge. Do not send a copy of this form to any district judge or magistrate judge.

(As added Apr. 28, 1983, eff. Aug. 1, 1983; amended Apr. 22, 1993, eff. Dec. 1, 1993; Apr. 11, 1997, eff. Dec. 1, 1997.)