AO 86A (Rev. 01/09) Consent to Proceed Before a Magistrate Judge in a Misdemeanor Case UNITED STATES DISTRICT COURT for the __________ District of __________ United States of America v. ) ) ) ) ) Case No. Defendant CONSENT TO PROCEED BEFORE A MAGISTRATE JUDGE IN A MISDEMEANOR CASE A United States magistrate judge has explained to me the nature of the charges against me and the maximum penalty that may be imposed on each charge if I am found guilty. The magistrate judge has also informed me of my right to a lawyer, my right to a jury trial, and my right to be tried, judged, and sentenced before either a United States district judge or a United States magistrate judge. I consent to being tried before a United States magistrate judge, and I waive my rights to trial, judgment, and sentencing by a United States district judge. Defendant's signature Waiver of a Right to Trial by Jury I waive my right to a jury trial. Defendant's signature The United States consents to the jury-trial waiver: Government representative's signature Government representative's printed name and title Waiver of a Right to Have 30 Days to Prepare for Trial I waive my right to have 30 days to prepare for trial. Defendant's signature Printed name of defendant's attorney (if any) Signature of defendant's attorney (if any) Date: Approved by: Magistrate Judge's signature American LegalNet, Inc. www.FormsWorkflow.com