UNITED STATES DISTRICT COURTDISTRICT OF UTAH))CASE NO.PLAINTIFF,)))VS.))))DEFENDANT.))In accordance with United States District Court for the District of Utah General Order11-001, and Fed. R. Civ. P. 73, you are notified that the above entitled action has been assignedto a United States Magistrate Judge to conduct all proceedings in this case, including trial, entry of final judgment, and all post-judgment proceedings. Exercise of this jurisdiction by a United States Magistrate Judge is permitted only if all parties file a written consent. Indicate belowwhether you consent to the assignment or request the case be reassigned to a district courtjudge. Consent Party(s) represented Attorney SignatureDateReassignment Party(s) represented Attorney SignatureDate Return this form within 15 days of receipt. After completing this form, counsel arerequired to e-mail this form in PDF format by sending it to consents@utd.uscourts.gov. Alternatively, the form may be mailed to the following address:U.S. District Court, 351 S. West Temple Street, Salt Lake City, Utah 84101, Attention: ConsentClerk. Do not e-file this document. No judge will be informed of a party222s response to this notification, unless all parties haveconsented to the assignment of the matter to a United States Magistrate JudgeAn appeal from a judgment entered by a United States Magistrate Judge will be madedirectly to the United States Court of Appeals for the Tenth Circuit in the same manner as anappeal from any other judgment of this district. 28 U.S.C. 247 636(c); Fed. R. Civ. P. 73.NOTICE OF ASSIGNMENT TO AUNITED STATES MAGISTRATEJUDGE AND CONSENT/REQUEST FOR REASSIGNMENT American LegalNet, Inc. www.FormsWorkFlow.com