**IN THE UNITED STATES DISTRICT COURT**

**FOR THE NORTHERN DISTRICT OF TEXAS**

**DIVISION**

[\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_]{.underline}

Plaintiff

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

v\. Docket No.

[\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_]{.underline}

Defendant

**[CONSENT TO PROCEED BEFORE A UNITED STATES MAGISTRATE
JUDGE]{.underline}**

In accordance with the provisions of 28 U.S.C. § 636(c), the parties to
the above captioned civil matter hereby waive their right to proceed
before a Judge of the United States District Court and consent to have a
United States Magistrate Judge conduct any and all further proceedings
in the above styled case (including the trial) and order entry of a
final judgment.

> [Party or Counsel of Record]{.underline} [Date]{.underline}

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

NOTE: Return this form to the District Clerk only if it has been
executed by all parties to the case.

**[ORDER OF REASSIGNMENT]{.underline}**

IT IS HEREBY ORDERED that the above captioned matter be reassigned to
the United States Magistrate Judge for the conduct of all further
proceedings and the entry of judgment in accordance with 28 U.S.C. §
636(c) and the foregoing consent of the parties.

DATED:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
UNITED STATES DISTRICT JUDGE

**TRIALS BY THE UNITED STATES MAGISTRATE JUDGE**

28 U.S.C. § 636(c)(1), Fed. R. Civ Proc 73(b) provide that upon the
consent of all parties in a civil case, the district judge may enter an
order reassigning the civil case to a magistrate judge. Miscellaneous
Order #6 of the Northern District of Texas provides that it is the
plaintiff's obligation to attach a copy of this notice to the complaint
and summons, when served.

**NOTICE OF RIGHT TO CONSENT TO PROCEED**

**BEFORE A UNITED STATES MAGISTRATE JUDGE**

You have the opportunity to consent to the exercise of civil
jurisdiction over your case by a magistrate judge. If all parties
involved in your case consent, the presiding district judge may enter an
order of transfer, and reassign your case to a magistrate judge.

Your decision to consent, or not to consent, to the reassignment of your
case to a magistrate judge is entirely voluntary and without any adverse
consequences if you choose not to consent. Your decision should be
communicated to the clerk of the district court using the form entitled:
*Consent to Proceed Before a United States Magistrate Judge* ("consent
form"). It is preferred that all parties submit the consent form
jointly, but it may be submitted individually if necessary. A district
judge or magistrate judge will not be informed of any party's response
to this notice unless all parties have consented to the referral of the
matter to a magistrate judge.

Even if all parties consent to the exercise of civil jurisdiction by a
magistrate judge, the district judge may choose not to enter an order
reassigning the case to a magistrate judge. However, if the district
judge does enter an order of transfer, and reassigns your case to the
magistrate judge, the magistrate judge is then authorized to conduct any
or all proceedings in the case, including a jury or non-jury trial, and
order the entry of a final judgment. Upon entry of judgment by the
magistrate judge in any case referred under 28 U.S.C. § 636(c)(1), 28
U.S.C. § 636(c)(3) provides that "an aggrieved party may appeal directly
to the appropriate United States court of appeals from the judgment of
the magistrate judge in the same manner as an appeal from any other
judgment of a district court."

If you wish to consent to proceed before a United States magistrate
judge and are a registered electronic filer in the Northern District of
Texas, you may access an electronic version of the consent form via the
court's CM/ECF system under Civil Events, Other Filings. Detailed
instructions on how to complete the electronic version of the consent
form are provided in the ECF User Guide located on the court's website
at [[www.txnd.uscourts.gov]{.underline}](http://www.txnd.uscourts.gov/),
Filing / ECF Info. Completing the electronic version of the consent form
will electronically submit the form.

The consent form may also be obtained in paper form from any of the
clerk's seven divisional offices.