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Consent - Reassignment Form (Social Security Appeal Cases)
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Description
UNITED STATES DISTRICT COURT WESTERN DISTRICT OF ARKANSAS ) ) CONSENT/REASSIGNMENT FORM ) SOCIAL SECURITY APPEAL CASES ) ) Case No. ) ) ) ) ) Plaintiff(s) vs. Social Security Administration Commissioner Defendant(s.) Exercise of jurisdiction by the Magistrate Judge assigned is permitted only if all parties voluntarily consent. You may, without adverse substantive consequences, withhold your consent. While consent to the assignment of the case to a Magistrate Judge is entirely voluntary, submission of this Consent/Reassignment Form memorializing consent or requesting reassignment to a District Judge is mandatory. Consent Reassignment Party(ies) Represented Attorney Signature Date FILE THE CONSENT/REASSIGNMENT FORM THROUGH THE COURT'S ELECTRONIC CASE FILING (ECF) SYSTEM USING the Civil Event: Other Filings -> Notices -> Notice of Consent/Reassignment - SSA This form is also available on the Court's website: www.arwd.uscourts.gov - > ONLINE FORMS American LegalNet, Inc. www.FormsWorkFlow.com
