! Hereby certify that the foregoing
1s a tru2 co~j~i cf 7he ortinal o.o:::ument
UNITED STATES DISTRICT COURT on fiie. Datu· 01 /;J.'?J- o ~- -
1
DISTRICT OF CONNECTICUT i ·: .,,!rj.\ ~< lu::i..:.;-a
w_ C)}
By""i5euLiiY Clerk ~
STANDING ORDER REGARDING ASSIGNMENT OF APPEALS OF
SOCIAL SECURITY ADMINISTRATION DECISIONS
The parties in an appeal of the decision of the Social Security Administration may
choose to file consent to the appeal being decided by a Magistrate Judge of this District,
with judgment entered following the Magistrate Judge's decision on the Social Security
appeal. Any appeal from the Magistrate Judge's ruling would be to the Second Circuit
Court of Appeals. The plaintiff must file such consent within fourteen (14) days of the
filing of his/her appeal, and the defendant must file his/her consent within fourteen (14)
days of the filing of his/her notice of appearance.
If a party does not consent within the time limit for that party as described above,
the Social Security appeal will then be assigned to a District Judge.
Pending random assignment to either a Magistrate Judge or District Judge, all
Social Security appeals will be temporarily assigned to the docket of the Chief Judge.
A copy of the Consent Form is attached to this Standing Order.
SO ORDERED.
Dated at New Haven, Connecticut, this 20th day of July, 2015.
/s/ Janet C. Hall
net C. Hall, Chief Judge
U
. nited States District Court
AO 85 (Rev OI /09) Notice, Consent, and Reference of a Civil Action to a Magistrate Judge
UNITED STATES DISTRICT COURT
for the
)
Plaintiff )
V, ) Civil Action No .
)
Defendant )
NOTICE, CONSENT, AND REFERENCE OF A CIVIL ACTION TO A MAGISTRATE JUDGE
Notice of a magistrate judge 's availability. A United States magistrate judge of this court is available to conduct all
proceedings in this civil action (including a jury or nonjury trial) and to order the entry of a final judgment. The judgment may
then be appealed directly to the United Ststes court of appeals like any other judgment of this court. A magistrate judge may
exercise this authority only if all parties voluntarily consent.
You may consent to have your case referred to a magistrate judge, or you may withhold your consent without adverse
substantive consequences. The name ofany party withholding consent will not be revealed to any judge who may otherwise
be involved with your case.
Consent to a magistrate judge's authority. The following parties consent to have a United States magistrate judge
conduct all proceedings in this case including trial, the entry of final judgment, and all post-trial proceedings.
Parties' printed names Signatures ofparties or attorneys Dates
-- -- ----
Reference Order
IT IS ORDERED: T his case is referred to a United States magistrate judge to conduct all proceedings and
order the entry ofa final judgment in accordance with 28 U.S.C. § 636(c) and Fed. R. Civ. P. 73.
Date:
District Judge's signature
Printed name and title
Note: Return this form to the clerk of court only if you are consenting to the exercise of jurisdiction by a United States
magistrate judge. Do not return this form to ajudge.
