Consent Or Declination To Magistrate Judge Jurisdiction

UNITED STATES DISTRICT COURT for the NORTHERN DISTRICT OF ALABAMA , Plaintiff, v. , Defendant. } } } } } } } } } Case No.: CONSENT OR DECLINATION TO MAGISTRATE JUDGE JURISDICTION INSTRUCTIONS: Please indicate below by checking one of the two boxes whether you choose to consent or decline magistrate judge jurisdiction in this matter. Sign this form below your selection. Consent to Magistrate Judge Jurisdiction In accordance with the provisions of 28 U.S.C. § 636(c), I voluntarily consent to have a United States magistrate judge conduct all further proceedings in this case, including trial and entry of final judgment. I understand that appeal from the judgment shall be taken directly to the United States Court of Appeals for the Eleventh Circuit. OR Decline Magistrate Judge Jurisdiction In accordance with the provisions of 28 U.S.C. § 636(c), I decline to have a United States magistrate judge conduct all further proceedings in this case and I hereby request that this case be reassigned to a United States district judge. DATE: NAME: Signature American LegalNet, Inc. www.FormsWorkFlow.com