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Case 1:13-cv-03831-ARR-JO Document 2 Filed 07/10/13 Page 1 of 2 PageID #: 28

UNITED STATES DISTRICT COURT 

FOR THE 

EASTERN DISTRICT OF NEW YORK 

 
 
 
 
 
 
 
 
 
 





Douglas C Palmer 
Clerk of Court 
 
Michele Gapinski 
Chief Deputy 
Corey Nguyen 
Chief Deputy 
Carol McMahon 
Chief Deputy 
 

Theodore Roosevelt Federal Courthouse
Emanuel Cellar Federal Courthouse 
225 Cadman Plaza East 
Brooklyn, NY 11201 
(718) 613?2270 

Alfonse D’Amato  Federal Courthouse
100 Federal Plaza 
Central Islip, NY 11722 
(718) 613?2270 

NOTICE



In accordance with Rule 73 of the Federal Rules of Civil Procedure and Local Rule

73.1, the parties are notified that if all parties consent a United States magistrate judge of

this court is available to conduct all proceedings in this civil action (including a jury or nonjury

trial) and to order the entry of a final judgment. You may consent to the magistrate judge who

has been assigned to this case or to a new magistrate judge selected at random. Attached is a

blank copy of the consent form that should be signed and filed electronically only if all parties

wish to consent and it is signed by all parties. A consent form may also be accessed at the

following link: http://www.uscourts.gov/uscourts/FormsAndFees/Forms/AO085.pdf


You may withhold your consent without adverse substantive consequences.

Do NOT return or file the consent unless all parties have signed the consent.

Case 1:13-cv-03831-ARR-JO Document 2 Filed 07/10/13 Page 2 of 2 PageID #: 29

AO 85 (Rev. (cid:40)(cid:39)(cid:49)(cid:60)(cid:3)(cid:3)(cid:27)(cid:18)(cid:22)(cid:18)(cid:21)(cid:19)(cid:20)(cid:21)(cid:12) Notice, Consent, and Reference of a Civil Action to a Magistrate Judge

UNITED STATES DISTRICT COURT

for the

Plaintiff

v.

Defendant

)
)
)
)
)

Civil Action No.

NOTICE, CONSENT, AND REFERENCE OF A CIVIL ACTION TO A MAGISTRATE JUDGE

Notice of a magistrate judge’s availability. A United States magistrate judge of this court is available to conduct all
proceedings in this civil action (including a jury or nonjury trial) and to order the entry of a final judgment. The judgment may
then be appealed directly to the United States court of appeals like any other judgment of this court. A magistrate judge may
exercise this authority only if all parties voluntarily consent.

You may consent to have your case referred to a magistrate judge, or you may withhold your consent without adverse
substantive consequences. The name of any party withholding consent will not be revealed to any judge who may otherwise
be involved with your case.

Consent to a magistrate judge’s authority. The following parties consent to have a United States magistrate judge

conduct all proceedings in this case including trial, the entry of final judgment, and all post-trial proceedings.

Parties’ printed names

Signatures of parties or attorneys

Dates

IT IS ORDERED: This case is referred to a United States magistrate judge to conduct all proceedings and

order the entry of a final judgment in accordance with 28 U.S.C. § 636(c) and Fed. R. Civ. P. 73.

Reference Order

Date:

District Judge’s signature

Printed name and title

Note:(cid:3)(cid:3)(cid:3)(cid:3)(cid:39)(cid:82)(cid:3)(cid:81)(cid:82)(cid:87)(cid:3)(cid:85)(cid:72)(cid:87)(cid:88)(cid:85)(cid:81)(cid:3)(cid:87)(cid:75)(cid:72)(cid:3)(cid:73)(cid:82)(cid:85)(cid:80)(cid:3)(cid:87)(cid:82)(cid:3)(cid:87)(cid:75)(cid:72)(cid:3)(cid:38)(cid:79)(cid:72)(cid:85)(cid:78)(cid:3)(cid:82)(cid:73)(cid:3)(cid:38)(cid:82)(cid:88)(cid:85)(cid:87)(cid:3)(cid:82)(cid:85)(cid:3)(cid:73)(cid:76)(cid:79)(cid:72)(cid:3)(cid:76)(cid:87)(cid:3)(cid:82)(cid:81)(cid:3)(cid:40)(cid:38)(cid:41)(cid:3)(cid:88)(cid:81)(cid:79)(cid:72)(cid:86)(cid:86)(cid:3)(cid:68)(cid:79)(cid:79)(cid:3)(cid:83)(cid:68)(cid:85)(cid:87)(cid:76)(cid:72)(cid:86)(cid:3)(cid:75)(cid:68)(cid:89)(cid:72)(cid:3)consent(cid:72)(cid:71) to the exercise of

jurisdiction by a United States Magistrate Judge. Do not return this form to a Judge.

You may consent to the magistrate judge assigned to this case orto a new magistrate judge selected at random.Select one: The parties consent to ___ the magistrate judge who is assigned to this case___ a new magistrate judge selected at random.In order for the Consent to be valid, all parties must sign this form and agree to the selection of the magistrate judge.EASTERN DISTRICT OF NEW YORK