Fill and Sign the Assignment Name Change Form

 County Court  District Court ____________________________________ County, Colorado Court Address: Plaintiff(s)/Petitioner(s): v. Defendant(s)/Respondent(s): COURT USE ONLY Attorney or Party Without Attorney (Name and Address): Phone Number: E-mail: FAX Number: Atty. Reg. #.: Case Number: Division Courtroom  CONSENT OR  OBJECT TO ASSIGNMENT TO MAGISTRATE PURSUANT TO COLORADO RULES FOR MAGISTRATES My name is _____________________________________, (After reading carefully, check one of the boxes below.)  I am a Plaintiff/Petitioner in this case.  I am counsel for a Plaintiff/Petitioner in this case.  I am a Defendant/Respondent in this case.  I am counsel for a Defendant/Respondent in this case.  (Attorneys only) I represent the following party or parties: __________________________________________ __________________________________________________________________________________________ IMPORTANT NOTICE Each Plaintiff/Petitioner and Defendant/Respondent in a case must fill out a separate Consent or Object form. You cannot Consent or Object for another party unless you are that person’s attorney. Spouses/Partners in a Civil Union cannot Consent or Object for each other.  I do consent to a Magistrate presiding at  all hearings and rulings on all motions or  the ____________________________ (name of proceeding) in this case. I understand that if I do not consent, the case will be handled by the assigned Judge. I also understand that if I do consent, I cannot withdraw my consent at a later time.  I object to a Magistrate presiding at  all hearings and rulings on all motions or  the__________________________ (name of proceeding) in this case. I understand that if I object, the case will be handled by the assigned Judge. Date: __________________________________ ___________________________________________ Signature CERTIFICATE OF SERVICE I certify that on _______________________ (date) an original was filed with the Court and a true and accurate copy of the CONSENT TO ASSIGNMENT TO MAGISTRATE was served on the other party by:  Hand Delivery,  E-filed,  Faxed to this number ____________________, or  by placing it in the United States mail, postage pre-paid, and addressed to the following: To: ___________________________________ ___________________________________ ___________________________________ ______________________________________ Your signature JDF 405 R6/18 CONSENT TO ASSIGNMENT TO MAGISTRATE