RESET FORM
USDC/ATTY-005 | LR 73.1 (6/05) Consent to Jurisdiction by a U. S. Magistrate Judge
UNITED STATES DISTRICT COURT
SOUTHERN DISTRICT OF WEST VIRGINIA AT SELECT ONE:
v.
CIVIL ACTION
CONSENT TO JURISDICTION BY A UNITED STATES MAGISTRATE JUDGE In accordance with the provisions of Title 28, United States Code, Section 636(c), the undersigned party or parties to the above-captioned civil matter hereby voluntarily consent to have a United States magistrate judge conduct any and all further proceedings in the case, including trial, and order the entry of final judgment.
_______________________________
Date
__________________________________________
Signature
Note: Return this form to the Clerk of the Court if you consent to jurisdiction by a United States magistrate judge. Do not send a copy of this form to any district judge or magistrate judge.
Form 34, FRCivP, Appendix of Forms