Form Dnm - Consent To Proceed / Refusal To Consent To Proceed Before A United States Magistrate Judge

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IN THE UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF NEW MEXICO
Plaintiff(s),
-vs-
Civil No. ___________________________
Defendant(s).
CONSENT TO PROCEED / REFUSAL TO CONSENT TO PROCEED
BEFORE A UNITED STATES MAGISTRATE JUDGE
In accordance with 28 U.S.C. § 636(c) and Rule 73(b) of the Federal Rules of Civil Procedure, the
above-entitled action has been assigned to United States Magistrate Judge:
_______________________________________________
to conduct dispositive proceedings in this case, including motions and trial, entry of final judgment,
and all post-judgment proceedings. Exercise of this jurisdiction by a U.S. Magistrate Judge is
permitted only if all parties consent. Indicate below if you consent to the assignment or if you
refuse to consent:
G
G
Consent
Refuse
___________________________________
___________________________________
Party(s)
Party(s)
___________________________________
___________________________________
Signature
Date
Signature
Date
If you are a pro se litigant, return this form to the Clerk’s Office no later than 21 days after
entry of the Order setting the Rule 16 Initial Scheduling Conference.
If you are an
attorney/e-filer, please visit our Web site at
for e-filing instructions. If consent
by each party is not timely received, the matter will be reassigned to a district judge who will serve
as the presiding judge.
DNM (Rev. 12/2010) Consent/Refusal to MJ

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