Allen v. Commissioner of Social Security et al

Filing 4

ORDER GRANTING Plaintiff's 3 Motion to Proceed IFP; ORDER DIRECTING the Clerk of the Court to serve Plaintiff with Magistrate Judge consent form; ORDER DIRECTING Plaintiff to complete and file the Magistrate Judge consent form no later than June 16, 2017, signed by Magistrate Judge Gary S. Austin on 05/23/17. (Attachments: # 1 consent/decline form) (Deadline: 06/16/2017)(Martin-Gill, S)

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UNITED STATES DISTRICT COURT EASTERN DISTRICT OF CALIFORNIA AT FRESNO CASE NO. ______________________ ______________________________ Plaintiff(s)/Petitioner(s), vs. ________________________________ Defendant(s)/Respondent(s) IMPORTANT: / CHECK AND SIGN ONLY ONE SECTION OF THIS FORM, THEN RETURN IT TO THE CLERK’S OFFICE NOT LATER THAN 20 DAYS FOLLOWING YOUR FIRST APPEARANCE, ANSWER OR RESPONSIVE PLEADING. 9 CONSENT TO JURISDICTION OF UNITED STATES MAGISTRATE JUDGE In accordance with the provisions of Title 28, U.S.C. Sec. 636(c)(1), the undersigned hereby voluntarily consents to have a United States Magistrate Judge conduct all further proceedings in this case, including trial and entry of final judgment, with direct review by the Ninth Circuit Court of Appeals, in the event an appeal is filed. Date: ___________________ Signature: _______________________________ Print Name:______________________________ ( ) Plaintiff/Petitioner ( ) Defendant/Respondent ( ) Counsel for * _________________________ 9 DECLINE OF JURISDICTION OF UNITED STATES MAGISTRATE JUDGE Pursuant to Title 28, U.S.C. Sec. 636(c)(2), the undersigned acknowledges the availability of a United States Magistrate Judge but elects to have this case randomly assigned to a United States District Judge. Date: ___________________ Signature: _______________________________ Print Name:______________________________ ( ) Plaintiff/Petitioner ( ) Defendant/Respondent ( ) Counsel for *_________________________ *If representing more than one party, counsel must indicate name of each party responding. g:\docs\docket\prisoner/cnsent-d.w pd ( 9/17/03)

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