Fill and Sign the Form 53 Statement of Consent to Proceed Before a United

UNITED STATES DISTRICT COURT FOR THE DISTRICT OF COLUMBIA ) Plaintiff(s) ) ) v. ) Civil Action No. ) ) Defendant(s) ) CONSENT TO PROCEED BEFORE A UNITED STATES MAGISTRATE JUDGE FOR ALL PURPOSES In accordance with the provisions of 28 U.S.C. ' 636(c)(3), the parties to the above-captioned civil matter by and with the advice of their counsel hereby voluntarily waive their rights 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 trial. Attorney for the Plaintiff(s) Date Attorney for the Defendant(s) Date NOTICE: The foregoing Consent by Counsel shall be accepted upon the understanding that all counsel have secured the consent of their respective clients to the Consent and Referral to a United States Magistrate Judge for all purposes. ORDER OF REFERENCE IT IS HEREBY ORDERED that the above-captioned matter be referred to a United Sates Magistrate Judge for all further proceedings and the entry of judgment in accordance with 28 U.S.C.' 636(c)(3) and the foregoing consent of the parties. United States District Judge Date NOTE: RETURN THIS FORM TO THE CLERK OF THE COURT ONLY IF ALL PARTIES HAVE CONSENTED TO PROCEED BEFORE A UNITED STATES MAGISTRATE JUDGE. CO-942B Rev 3/95 Rev 7/99