UNITED STATES DISTRICT COURT FOR THE WESTERN DISTRICT OF OKLAHOMA ) ) ) ) ) ) ) ) ) vs. Case No. CONSENT TO JURISDICTION BY A UNITED STATES MAGISTRATE JUDGE In accordance with the provisions of Title 28 U.S.C. 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 the trial) and order the entry of a final judgment. PLAINTIFF: Attorney/Party Name Printed or Typed Signature DEFENDANT: Attorney/Party Name Printed or Typed Signature NOTE: File this form electronically after it has been executed by all parties to the case. 303/3-97 American LegalNet, Inc. www.FormsWorkFlow.com