AO85 (Rev/8/98) Notice, Consent, and Order of Reference-Exercise of Jurisdiction by a United States Magistrate Judge UNITED STATES DISTRICT COURT _____________________________________ District of South Carolina _________________________________________ [Plaintiff] Plaintiff, v. [Defendant] Defendants. ) ) ) ) ) ) ) NOTICE, CONSENT, AND ORDER OF REFERENCE– EXERCISE OF JURISDICTION BY A UNITED STATES MAGISTRATE JUDGE Case Number: [Case Number] NOTICE OF AVAILABILITY OF A UNITED STATES MAGISTRATE TO EXERCISE JURISDICTION In accordance with the provisions of 28 U.S.C. 636(c), and Fed. R. Civ. P. 73, you are hereby notified that a United States magistrate judge of this district court is available to conduct any or all proceedings in this case including a jury or nonjury trial, and to order the entry of a final judgment. Exercise of this jurisdiction by a magistrate judge is, however, permitted only if all parties voluntarily consent. You may, without adverse substantive consequences, withhold your consent, but this will prevent the court’s jurisdiction from being exercised by a magistrate judge. If any party withholds consent, the identity of the parties consenting or withholding consent will not be communicated to any magistrate judge or to the district judge to whom the case has been assigned. An appeal from a judgment entered by a magistrate judge shall be taken directly to the United States court of appeals for this judicial circuit in the same manner as an appeal from any other judgment of a district court. CONSENT TO THE EXERCISE OF JURISDICTION BY A UNITED STATES MAGISTRATE JUDGE In accordance with the provisions of 28 U.S.C.§ 636(c) and Fed. R. Civ. P. 73, the parties in this case consent to have a United States magistrate judge conduct any and all further proceedings in this case, including the trial, order the entry of a final judgment, and conduct all post-judgment proceedings. Party Represented Signatures Date [Parties Represented 1] [date 1] [parties represented 2] [date 2] [parties represented 3] [date 3] [parties represented 4] [date 4] ORDER OF REFERENCE IT IS ORDERED that this case be referred to The Honorable [referred to The Honorable __], United States Magistrate Judge, to conduct all proceedings and order the entry of judgment in accordance with 28 U.S.C. § 636 (c), Fed. R. Civ. P. 73. ____________________ Date ___________________________________________________________ United States District Judge NOTE: RETURN THIS FORM TO THE CLERK OF COURT ONLY IF ALL PARTIES HAVE CONSENTED ON THIS FORM TO THE EXERCISE OF JURISDICTION BY A UNITED STATES MAGISTRATE JUDGE American LegalNet, Inc. www.FormsWorkflow.com