IN THE UNITED STATES DISTRICT COURT FOR THE MIDDLE DISTRICT OF ALABAMA ________________________ DIVISION _________________________________, Plaintiff, v. _________________________________, Defendants, ) ) ) ) ) ) ) ) )
CIVIL ACTION NO. __________________
CONSENT TO JURISDICTION BY A UNITED STATES MAGISTRATE JUDGE In accordance with the provisions of Title 28, U.S.C. ยง 636(c), the undersigned party or parties to the above-captioned civil matter who previously have indicated their consent to the jurisdiction of a Magistrate Judge of this Court, hereby confirm in writing their consent to a United States Magistrate Judge conducting any and all further proceedings in the case, including trial, and ordering the entry of a final judgment. __________________________ Date ____________________________________________________ Signature
____________________________________________________ Counsel For (print name of all parties)
____________________________________________________ Address, City, State Zip Code
____________________________________________________ Telephone Number