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UNITED STATES DISTRICT COURT FOR THE DISTRICT OF UTAH ) ) ) ) ) ) ) )
)

PLAINTIFF,

CASE NO. NOTICE OF ASSIGNMENT TO A UNITED STATES MAGISTRATE JUDGE AND CONSENT / REQUEST FOR REASSIGNMENT

VS.

) ) DEFENDANT. __________________________________________) In accordance with United States District Court for the District of Utah General Order 07-001, and Fed.R.Civ.P. 73, you are notified that the above entitled action has been assigned to a United States Magistrate Judge to conduct all proceedings in this case, including trial, entry of final judgment, and all post-judgment proceedings. Exercise of this jurisdiction by a United States Magistrate Judge is permitted only if all parties file a written consent. Indicate below if you consent to the assignment or request the case be reassigned to a district court judge.

Consent
Party(s) represented

Reassignment
Party(s) represented

Attorney Signature

Date

Attorney Signature

Date

Return this form within 15 days of receipt. After completing this form, counsel are required to e-mail this form in pdf format by clicking the button below or by sending it to [email protected]. Alternatively, the form may be mailed to the following address: U.S. District Court, 350 South Main Street, Salt Lake City, Utah 84101, Attention: Consent Clerk. Do not e-file this document.
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No Judge will be informed of a party's response to this notification, unless all parties have consented to the assignment of the matter to a United States Magistrate Judge An appeal from a judgment entered by a United States Magistrate Judge will be made directly to the United States Circuit Court of Appeals for the Tenth Circuit in the same manner as an appeal from any other judgment of this district. 28 U.S.C. § 636(c); Fed.R.Civ.P. 73.