Fill and Sign the United States District Court for the District of Wyoming Form

OAO86A (Rev. 4/91) Consent to Proceed—Misdemeanor U NITED S TATES D ISTRICT C OURT DISTRICT OF WYOMING UNITED STATES OF AMERICA, CONSENT TO PROCEED BEFORE V. UNITED STATES MAGISTRATE JUDGE IN A MISDEMEANOR CASE Case Number: The United States magistrate judge has explained to me the nature of the offense(s) with which I am charged and the maximum possible penalties which might be imposed if I am found guilty. The magistrate judge has informed me of my right to the assistance of legal counsel. The magistrate judge has informed me of my right to trial, judgment, and sentencing before a United States district judge or a United States magistrate judge. I HEREBY: Waive (give up) my right to trial, judgment, and sentencing before a United States district judge, and I consent to trial, judgment and sentencing before a United States magistrate judge. X, Defendant WAIVER OF RIGHT TO TRIAL BY JURY The magistrate judge has advised me of my right to trial by jury. I HEREBY: Waive (give up) my right to trial by jury. Defendant Consented to by United States Signature Name and Title WAIVER OF RIGHT TO HAVE THIRTY DAYS TO PREPARE FOR TRIAL The magistrate judge has also advised me of my right to ha ve at least thirty days to prepare for trial before the magistrate judge. I HEREBY: Waive (give up) my right to have at least thirty days to prepare for trial. X, Defendant Approved By: Defendant’s Attorney (if any) United States Magistrate Judge Date \ \ Signature United States Magistrate Judge