4/2022
THE JUDICIAL COUNCIL OF THE _______________ CIRCUIT
In the Matter of the Recall ) ORDER
Appointment of: )
) OF
_____________________________________, )
) RECALL
United States Magistrate Judge, Retired )
The Honorable _____________________________________________, having consented to serve and
the chief judge of the district involved having consented to such service, is RECALLED for service as a United
States Magistrate Judge assigned to the following district: ______________________________ at the following
location(s): __________________________________________________. The magistrate judge is authorized to
perform the powers and duties of the office of magistrate judge as provided by the district court.
This recall is pursuant to the following:
____ Ad Hoc Recall Regulations promulgated by the Judicial Conference under 28 U.S.C. 636(h);
____ Extended Service Recall Regulations promulgated by the Judicial Conference under 28 U.S.C. 636(h); or
____Five-Year Recall Regulations promulgated by the Judicial Conference under 28 U.S.C. 375.
If the recall is pursuant to the Extended Service Regulations or the Five-Year Recall Regulations, then the judicial
council hereby certifies that the magistrate judge is expected to perform, and he or she consents to perform,
substantial service during the period of recall.
The appointment is effective on ____________________, 20____, and shall continue in effect until and
including ____________________, 20____. If the recall is pursuant to the Ad Hoc Recall Regulations, the service
shall be ____ full-time / ____ when-actually-employed, not to exceed a total of ____ days during the entire recall
period.
If staff is approved, the Judicial Council certifies that the recalled judge will perform the service required
by 1120.40 (or 1220.40 or § 1720.45) (a) through (c) of the Judicial Conference regulations governing the
recall of retired magistrate judges and that the following number and types of staff are appropriate for the recalled
magistrate judge s projected and actual workload:
____ secretarial position(s) on a ____ full-time basis
____ part-time basis (____ hours per week);
____ law clerk position(s) on a ____ full-time basis
____ part-time basis (____ hours per week);
____ clerk s office support ____ full-time basis
____ part-time basis (____ hours per week).
This ORDER entered the ____ day of ____________________, 20____.
FOR THE JUDICIAL COUNCIL:
_________________________________________________
Signature of chief judge of circuit or designee
