`
`AO 85 (Rev. 01/09) Notice, Consent, and Reference of a Civil Action to a Magistrate Judge
`
`UNITED STATES DISTRICT COURT
`for the
`__________ District of __________
`
`Civil Action No.
`
`)))))
`
`Plaintiff
`v.
`
`Defendant
`
`NOTICE, CONSENT, AND REFERENCE OF A CIVIL ACTION TO A MAGISTRATE JUDGE
`
`Notice of a magistrate judge’s availability. A United States magistrate judge of this court is available to conduct all
`proceedings in this civil action (including a jury or nonjury trial) and to order the entry of a final judgment. The judgment may
`then be appealed directly to the United States court of appeals like any other judgment of this court. A magistrate judge may
`exercise this authority only if all parties voluntarily consent.
`
`You may consent to have your case referred to a magistrate judge, or you may withhold your consent without adverse
`substantive consequences. The name of any party withholding consent will not be revealed to any judge who may otherwise
`be involved with your case.
`
`Consent to a magistrate judge’s authority. The following parties consent to have a United States magistrate judge
`conduct all proceedings in this case including trial, the entry of final judgment, and all post-trial proceedings.
`
`Parties’ printed names
`
`Signatures of parties or attorneys
`
`Dates
`
`IT IS ORDERED: This case is referred to a United States magistrate judge to conduct all proceedings and
`order the entry of a final judgment in accordance with 28 U.S.C. § 636(c) and Fed. R. Civ. P. 73.
`
`Reference Order
`
`Date:
`
`District Judge’s signature
`
`Printed name and title
`
`Note: Return this form to the clerk of court only if you are consenting to the exercise of jurisdiction by a United States
`magistrate judge. Do not return this form to a judge.
`
`
`
`Case 1:11-cv-00797-RGA Document 2 Filed 09/09/11 Page 2 of 2 PageID #: 33
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` AO 85A (Rev. 01/09) Notice, Consent, and Reference of a Dispositive Motion to a Magistrate Judge
`
`UNITED STATES DISTRICT COURT
`for the
`__________ District of__________
`
`Civil Action No.
`
`)))))
`
`Plaintiff
`v.
`
`Defendant
`
`NOTICE, CONSENT, AND REFERENCE OF A DISPOSITIVE MOTION TO A MAGISTRATE JUDGE
`
`Notice of a magistrate judge’s availability. A United States magistrate judge of this court is available to conduct
`all proceedings and enter a final order dispositive of each motion. A magistrate judge may exercise this authority only if
`all parties voluntarily consent.
`
`You may consent to have motions referred to a magistrate judge, or you may withhold your consent without
`adverse substantive consequences. The name of any party withholding consent will not be revealed to any judge who
`may otherwise be involved with your case.
`
`Consent to a magistrate judge’s consideration of a dispositive motion. The following parties consent to have a
`United States magistrate judge conduct any and all proceedings and enter a final order as to each motion identified below
`(identify each motion by document number and title).
`
`Motions:
`
`Parties’ printed names
`
`Signatures of parties or attorneys
`
`Dates
`
`IT IS ORDERED: The motions are referred to a United States magistrate judge to conduct all proceedings and
`enter a final order on the motions identified above in accordance with 28 U.S.C. § 636(c).
`
`Reference Order
`
`Date:
`
`District Judge’s signature
`
`Printed name and title
`
`Note: Return this form to the clerk of court only if you are consenting to the exercise of jurisdiction by a United States
`magistrate judge. Do not return this form to a judge.