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United States Magistrate Judge Dena Hanovice Palermo


Chambers Contact

United States Courthouse
515 Rusk Avenue
Room 7727
Houston, Texas 77002
713-250-2702 (voice)

Courtroom 702

Case Manager

Carol Felchak


Court Procedures and Local Rules
Speaking Opportunities for Women, Minorities, and Junior Lawyers

Magistrate Court Criminal Forms    

IMPORTANT: These forms have been approved by Judge Palermo. Each time you need to use a form, you should download it from this page to ensure you are using the latest form. The forms should not be modified in any way, except for filling in the form fields. If the form does not meet your needs or you would like to make modifications to an approved form, you must first contact the judge’s case manager to request to make modifications.

NOTICE: All orders have been revised to comply with recent changes in the law. Use the current version from this website.










General Orders:    
Appearance of Counsel   view
Consent to Proceed Before a Magistrate Judge for Civil Case   view
Motion and Order Pro Hac Vice   view
Application Checklist  (All Criminal Warrants/Orders)   view
Consent to Proceed Before a Magistrate Judge for Misdemeanor Case   view
Criminal Orders and Warrants:    
Historical Customer Data (2703d) for Email Order view  
Historical Customer Data (2703d) for Phones Order view  

Application for a Warrant by Telephone or Other Reliable Electronic Means

   All warrant applications that will be sworn to over the telephone must use this form. In addition, the supporting
   affidavit must indicate that it was "Sworn to by telephone."

view view
Precise Location Warrant (for telephones) (AO Form)   view
GPS Location Warrant - Order for Assistance Executing (for telephones) view  
Pen Register and Trap and Trace Device Only view  
Pen Register and Trap and Trace for Blackberry (or other message) Device view  
Pen Register and Trap and Trace for Email and IP addresses view  
Pen Register, Trap and Trace Device and 2703d view  
Tracking Warrant (for vehicles/moving objects)   view
Tracking Warrant - Order for Assistance Executing (for vehicles/moving objects)   view
Social Media Pen Register, Trap and Trace, and Customer Information (2703d) view  
Waiver of an Indictment   view
Waiver of Appearance at Arraignment view  
Waiver of Detention Hearing view  
Waiver of Detention - Spanish view  
Waiver of Preliminary Hearing   view
Waiver of Rule 5 & 5.1 Hearings  (Charged in Another District) (Identity, Preliminary and/or Detention)   view
Waiver of Rule 32.1 Hearings (Violation of Probation or Supervised Release) (Identity, Preliminary and/or Detention)   view

Judge Palermo is not currently hiring or accepting applications. She will begin accepting applications in June 2019 for one law clerk position to start in the Summer of 2020. Interested applicants should apply online through Oscar,