IN THE UNITED STATES DISTRICT COURT FOR THE SOUTHERN DISTRICT OF ALABAMA SOUTHERN DIVISION UNITED STATES OF AMERICA * vs. * CRIMINAL NO. * CONSENT TO PROCEED BEFORE A UNITED STATES MAGISTRATE JUDGE FOR SELECTION OF THE JURY IN A FELONY CASE The parties to this action hereby waive their right to proceed before a United States district judge and consent to have a United States magistrate judge conduct voir dire and supervise the selection of the jury in this action. The opportunity to seek de novo review of any decision of the Magistrate Judge made during jury selection to a district judge is also expressly waived. An appeal of jury selection decisions will lie to the court of appeals as it would if made by a district judge. DEFENDANT Date COUNSEL FOR DEFENDANT Date COUNSEL FOR GOVERNMENT Date ORDER OF REFERENCE It is hereby ORDERED that this action be referred to U.S. Magistrate Judge for the selection of the jury pursuant to 28 U.S.C. ' 636(b)(3) and Local Rule 72.1. See Peretz v. United States , 501 U.S. 923, 111 S.Ct. 2661, 115 L.Ed.2d 808 (1991). Any appeal of a decision of the magistrate judge made during jury selection will lie to the court of appeals as it would if made by a district judge. DONE this the day of , . UNITED STATES DISTRICT JUDGE American LegalNet, Inc. www.FormsWorkFlow.com