IN THE UNITED STATES DISTRICT COURT FOR THE WESTERN DISTRICT OF WISCONSIN __________________________________________________________________
__________________________________, Plaintiff, Case No. ______________________ v.
__________________________________, Defendant. __________________________________________________________________ DECLINATION TO PROCEED BEFORE A U.S. MAGISTRATE JUDGE Pursuant to the court's order dated June 20, 2008, United States Magistrate Judge Stephen Crocker has been designated to conduct all proceedings in this civil matter, including trial and entry of final judgment. The undersigned party declines to consent to the assignment of Magistrate Judge Stephen Crocker for trial and disposition. Date: __________________________
Signature________________________________
Attorney for _____________________________ (Plaintiff, Defendant, or Pro Se)
THIS FORM SHALL NOT BE FILED ELECTRONICALLY. MAIL THIS FORM TO THE CLERK OF COURT NOT LATER THAN THREE (3) DAYS BEFORE THE PRELIMINARY PRETRIAL CONFERENCE.