Consent To Or Declination Of The Exercise Of Jurisdiction By A United States Magistrate Judge

CONSENT TO OR DECLINATION OF THE EXERCISE OF JURISDICTION BY A UNITED STATES MAGISTRATE JUDGE. This form is used in the United States District Court for the Northern District of Indiana. It allows each party one of two options indicating whether the party will consent or decline to consent to having a Magistrate Judge conduct any and all proceedings in this case, including entry of final judgment, in accordance with the provisions of 28 U.S.C. § 636(c), Fed. R. Civ. P. 73, and Local Rule 72-1. The party or parties listed voluntarily consent to having a United States Magistrate Judge conduct all further proceedings in this case to disposition, with direct review by the Seventh Circuit Court of Appeals in the event an appeal is filed OR the party or parties listed acknowledge the availability of a United States Magistrate Judge but decline to consent. Should this case be reassigned from one magistrate to another due to caseload restrictions, recusal, retirement or any other reason, the undersigned may object within thirty (30) days of such reassignment. www.FormsWorkflow.com