Fill and Sign the Attorneys for United States District Court Central Form

CONSENT TO PROCEED BEFORE A UNITED STATES MAGISTRATE JUDGE CV-11 ( 05/06) Page 1 of 2 NAME, ADDRESS & TELEPHONE NUMBER OF ATTORNEY(S) FOR, OR, PLAINTIFF OR DEFENDANT IF PLAINTIFF OR DEFENDANT IS PRO PER ATTORNEYS FOR: UNITED STATES DISTRICT COURT CENTRAL DISTRICT OF CALIFORNIA Plaintiff(s), v. Defendant(s) CASE NUMBER CONSENT TO PROCEED BEFORE A UNITED STATESMAGISTRATE JUDGE AND DESIGNATION I. CONSENT TO PROCEED BEFORE A UNITED STATES MAGISTRATE JUDGE In accordance with the provisions of 28 U.S.C. §636(c), the undersigned party or parties to the above-captioned civil matter hereby waive their right to proceed before a District Judge of the United States District Court and consent to have a United States Magistrate Judge conduct any and all further proceedings in the case (including the trial) and order the entry of final judgment. II. DESIGNATION/ASSIGNMENT OF A UNITED STATES MAGISTRATE JUDGE In accordance with Local Rule 73-2 , the parties may stipulate to the designation of a specific Magistrate Judge to conduct all further proceedings unless a particular Magistrate J udge has already been assigned to the case under General Order 05-07, in which event the case shall remain with that Magistrate Judge. Please consult the Court’s website at www.cacd.uscourts.gov (“Civil Consen t Cases” under the section entitled “Genera l Information”) for a list of all Magistrate Judges currently available for consent cases. The undersigned party or parties hereby stipul ate to the designation of Magistrate Judge to conduct any and all further proceedings in this case. III. APPELLATE REVIEW Any appeal from a judgment of the Magistrate Judge shall be taken to the United States Court of Appeals in the same manner as an appeal from any other judgment of the Di strict Judge in accordance with 28 U.S.C. §636(c)(3). IV. NOTICE TO COURT REGARDING DATE OF FILING Pursuant to Local Rule 73-4, unless the consent is filed at least thirty (30) before the date of the final pretrial conference, it will require the approval of the District Judge. CONSENT TO PROCEED BEFORE A UNITED STATES MAGISTRATE JUDGE CV-11 ( 05/06) Page 2 of 2 The undersigned party or parties hereby notify the Court that the consent to proceed before a United States Magistrate Judge is submitted for filing: (check one) G At least thirty (30) days prior to the date of the final pret rial conference. Therefore, the approval of the District Court Judge is not required. G Less than thirty (30) days before the date of the final pretrial conference. Therefore, the approval of the District Judge is required. The undersigned party or parties hereby consent to proceed before a United States Magistrate Judge for all further proceedings and stipulate to the designation/assignment of a United States Magistrate Judge and consent to any appellate review by the United States Court of Appeals. ALL parties must consent before the case may proceed before a United States Magistrate Judge . Use additional sheets if necessary to list all parties. Name of Counsel OR Party if Pro Per Signature and date Counsel for (Name Parties) [THIS PORTION IS TO BE USED ONLY IF THE CONSENT IS SUBMITTED LESS THAN 30\ DAYS BEFORE THE DATE OF THE FINAL PRETRIAL CONFERENCE AND IF CONSENTS HAVE BEEN FILE\ D BY ALL PARTIES ] G The consent of the parties to proceed before a United States Magistrate Judge to conduct all further proceedings IS HEREBY APPROVED . G The consent of the parties to proceed before a United St ates Magistrate Judge to conduct all further proceedings IS HEREBY DENIED . Date United States District Judge NOTICE TO COUNSEL FROM CLERK All parties having consented to proceed before a United St ates Magistrate Judge, this case has been reassigned to United States Magistrate Judge for all further proceedings. On all documents subsequently filed in this case, please substitute the initials after the case number in place of the initials of the prior judge so that the case number will read . This is very important because documents are routed to the assigned Magistrate Judge by means of the initials.