`
`UNITED STATES DISTRICT COURT
`FOR THE
`EASTERN DISTRICT OF NEW YORK
`
`Brenna Mahoney
`Clerk of Court
`August Marziliano
` Chief Deputy
`Michael Kramer
`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
`(631) 712-6030
`
`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 1:22-cv-02180-AMD-SJB Document 2 Filed 04/15/22 Page 2 of 2 PageID #: 42
`
`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
`
`Civil Action No.
`
`)))))
`
`Plaintiff
`v.
`
`Defendant
`
`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 or
`
`to 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
`
`
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