Fillable Notice Of MJ Assignment Election Form (US Courts)

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Notice Of MJ Assignment Election Form (US Courts)

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UNITED STATES DISTRICT COURT
NORTHERN DISTRICT OF CALIFORNIA
NOTICE OF ASSIGNMENT OF CASE
TO A UNITED STATES MAGISTRATE JUDGE FOR TRIAL
Pursuant to General Order 44, the Assignment Plan of the United States District Court
for the Northern District of California, this case has been randomly assigned to a Magistrate
Judge.
Pursuant to 28 U.S.C. § 636(c), with written consent of all parties, a magistrate judge
may conduct all proceedings in a case, including all pretrial and trial proceedings, entry of
judgment and post-trial motions. Appeal will be directly to the United States Court of Appeals
for the Ninth Circuit.
Attached is a form to complete to indicate whether you consent to proceed before the
assigned magistrate judge or decline to proceed before the assigned magistrate judge. This form
is also available from the Court’s website: cand.uscourts.gov/civilforms
. You are free to
withhold consent without adverse consequences. If any party declines, the case will be
reassigned to a district judge.
If you are the plaintiff or removing party in this case, you must file your
consent/declination form within 14 days of receipt of this notice. Each other party must file its
consent/declination form within 14 days of appearing in the case.
The plaintiff or removing party must serve a copy of this notice upon all other parties to
this action.
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United States District Court
Northern District of California
UNITED STATES DISTRICT COURT
NORTHERN DISTRICT OF CALIFORNIA
Plaintiff(s)
v.
Defendant(s).
Case No. C
CONSENT OR DECLINATION
TO MAGISTRATE JUDGE
JURISDICTION
INSTRUCTIONS: Please indicate below by checking one of the two boxes whether you (if you are the party)
or the party you represent (if you are an attorney in the case) choose(s) to consent or decline magistrate judge
jurisdiction in this matter. Sign this form below your selection.
☐ Consent to Magistrate Judge Jurisdiction
In accordance with the provisions of 28 U.S.C. § 636(c), I voluntarily consent to have a
United States magistrate judge conduct all further proceedings in this case, including trial and
entry of final judgment. I understand that appeal from the judgment shall be taken directly to the
United States Court of Appeals for the Ninth Circuit.
OR
☐ Decline Magistrate Judge Jurisdiction
In accordance with the provisions of 28 U.S.C. § 636(c), I decline to have a United States
magistrate judge conduct all further proceedings in this case and I hereby request that this case
be reassigned to a United States district judge.
DATE:
________________
NAME:
COUNSEL FOR
(OR “PRO SE”):
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Notice Of MJ Assignment Election Form (US Courts)

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Completed 23 February 2022

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