On March 20, 2019 a
Party Notice
was filed
involving a dispute between
Perez, Esperanza,
and
Brown, Tawna,
Bruun, Tawna,
Does 1 Through 50,
Kaiser Foundation Health Plan Inc A California Corporation,
Kaiser Foundation Hospitals A California Corporation,
Southern California Permanente Medical Group Inc., A Caifornia Corporation,
for Wrongful Termination Unlimited
in the District Court of San Bernardino County.
Preview
MG050
ATfORNEY pR PARTY WITHqU7 AT IORNEY Nama 5 Rte 8ernnMber endadC1re55j
FOfi C 7UR7 USE OMLY
Michele Ballard Miller SBN 104198 Ethan W Chemin SBN 273906
COZEN O CONNOR
1299 Ocean Avenue Suite 900 L
Santa Monica CA 90401 SUPERIOR COURT
COUNTY QF SAN OF
B F CALIFORNIA
NqRpiNQ
re ePHONe No 310 939 4000 Fax No Ionrrone 310 394 4700 SAN BERNARDINC7 p g7 R r
e Mn nooRessroarronen mbmilier@cozen com eehernin@cozen com
nrTORNer FOR rueme Defendant Keiser Foundation HeaKh Plan AUG 2 7 201g
SUPERIOR COURT OF CAUFORNIA COUNTY OF 8t1 B@fllBrdlfi0 J
STREETA ORESS 247 West 3rd Street 3rd Floor t
MAIUNG AODRESS L SET E Q T t
a
cirvnNoz rcaDe SanBernardino CA92415
swweH Nan e Staniey Mosk Cvurthouse
c nse N ahnE Esperanza P rez v Kais r Foundation Haspitals
cnse NuweeR
SUBSTITUTION OF ATTORNEY CIUIL
CIVDS1920836
Vlfithout Gourt Order
THE GOURT AND ALL PARTIES ARE NOTIFIED TH T namej Kaiser foundation Health Plan makes the following substit tion
1 Former legal representative Pariy rep esented self Aitorney name Miller Law Group
2 New legal representative Party is representing self Attomey
a Name CoZen O Cottnor b State Bar No if app icable
c Acidress number street city ZtP and law frnn name if app eable
1299 Ocean Avenue Suite 900
Santa Monica CA 90401
d Telephane No ir lude anea eode 1 f1 393 40 0
3 The party making this substitution is a plaintiff defendant petitioner respondent other speeify
NOTICE TO PARTIES APPLYING TO REPRESENT THEMSELVES
Guardian Personal Representative Guardian ad litem
Conservator Probate frduciary Unincorporated
Trustee Gorporation association
LL
if you are applying as one of tha parties on this list you may NOT act as your ow attomey In most cases Use this form
to substitute one attorney for another attomey SEEK LEGAL ADUICE BEFORE APPLYING TO RE RESENT YOURSELF
m
NOTICE TO PARTIES WITHOUT ATTORNEYS
A party representing himselt o herself may wish to seek legal assistance Failure to take
timely and appropriate action in this case may result in serious legal consequences
4 I consent to this substltution
Date
TONY RODRIGUEZ
TYPE OR PRINT NAMEI TURECI PRRTYa
5 I consent to this substitution
Date 8 13 19 r j
MICHELE BALLARD MI IER
SIGNATURE OP fORMERAITORNEYJ
TYPE ONPRINI NAM j
6 I consent to this substitution
Date 8 13 19
G
r
MICHELE BALLARD MILIER
OR PRtNT f tiNAiURF nF NEW ATTORNEY
1TYPE NAME I
P s 2
See reverse for proofof service by maif3
co e i
f 6e
SUBSTI CIVIL c 3e2
With t
tlos o 3
M
Outl ute
Ye
nnc asoQka oo outOCOUtt O
s
www f WaMMt
vrma w com
I
MC U50
GASE NAME CASE NUMBER
Esperan2a Peret v Kaiser Foundat on Haspitals et aL 19STCV096T0
PROOF 4F SERVICE SY MAIL
Substitution oi Attarney Civii
Inetructions After having ati parties served 6y mai with the Substitution of Attamey Civii have the person wha maited Ehe document
carnplete fhis Proof of Service by Mail An n ic ned copy of the Prqof o Service by Mail should be completed and served with fhe
d4curraenL ive the Substitutron r fAtt rney Civi1 and Ehe compJeFed Pmof at Senrice by Mai to the cter c forftting fyau ar representirrg
yoursel someone else must mail these papers and sign the Proof of Service by Mail
1 I am over the age of 18 and nat a party ta this cause 1 am a resident of or employed in the county where the mailing occurred My j
residence or business address is specifyJ
1299 Qcean Avenue SUite 940 Sania Manica CA 904fl 1
2 i served the Substitution oi Attorney Civil by enclasing a true copy in a sealed envelope addressed to each person wh4se name
and address is shown below and depnsiting the snvelope in the United States mail with the postage fuUy prepaid
1 Date of mailing 8 27 19 2 Place of mailing city and sfate Sant MoniG California
3 I declare under pena ty of peryury under the laws of the State af California that the toregoing is true and carrect
I
Date 27 19
i
OliviB Jar millo L
I
tYPE OR PRINT NAME SIGNATUREj
NAME AND ADDRESS OF EACH PERSON TO WHOM N TICE WAS MAtLED
4 a Name af person served Twila S White
b Address number street city and ZtP Law Office of Twila S White 6033 West Century Boulevard Suite 810
t os Angeles CA 90045
c Name of person served 1
d Address number stree city and I1P
e Name of person served
f Address nurnber street city and 2JP
g Name of person served
h Address jnumber street city anci 2iP
i
i Name af person served
j Address numt sr str et city and 21P
List of names and addresses cantinued in attachment
nnc o o He
ar sros eeea x oi
SUBSTITUTlON OF ATTORNEY CIVIL
Without Cau t Order
Amafrc m les et nc
www Formswak nw com
Document Filed Date
August 27, 2019
Case Filing Date
March 20, 2019
Category
Wrongful Termination Unlimited
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MG050 ATfORNEY pR PARTY WITHqU7 AT IORNEY Nama 5 Rte 8ernnMber endadC1re55j FOfi C 7UR7 USE OMLY Michele Ballard Miller SBN 104198 Ethan W Chemin SBN 273906 COZEN O CONNOR 1299 Ocean Avenue Suite 900 L Santa Monica CA 90401 SUPERIOR COURT COUNTY QF SAN OF B F CALIFORNIA NqRpiNQ re ePHONe No 310 939 4000 Fax No Ionrrone 310 394 4700 SAN BERNARDINC7 p g7 R r e Mn nooRessroarronen mbmilier@cozen com eehernin@cozen com nrTORNer FOR rueme Defendant Keiser Foundation HeaKh Plan AUG 2 7 201g SUPERIOR COURT OF CAUFORNIA COUNTY OF 8t1 B@fllBrdlfi0 J STREETA ORESS 247 West 3rd Street 3rd Floor t MAIUNG AODRESS L SET E Q T t a cirvnNoz rcaDe SanBernardino CA92415 swweH Nan e Staniey Mosk Cvurthouse c nse N ahnE Esperanza P rez v Kais r Foundation Haspitals cnse NuweeR SUBSTITUTION OF ATTORNEY CIUIL CIVDS1920836 Vlfithout Gourt Order THE GOURT AND ALL PARTIES ARE NOTIFIED TH T namej Kaiser foundation Health Plan makes the following substit tion 1 Former legal representative Pariy rep esented self Aitorney name Miller Law Group 2 New legal representative Party is representing self Attomey a Name CoZen O Cottnor b State Bar No if app icable c Acidress number street city ZtP and law frnn name if app eable 1299 Ocean Avenue Suite 900 Santa Monica CA 90401 d Telephane No ir lude anea eode 1 f1 393 40 0 3 The party making this substitution is a plaintiff defendant petitioner respondent other speeify NOTICE TO PARTIES APPLYING TO REPRESENT THEMSELVES Guardian Personal Representative Guardian ad litem Conservator Probate frduciary Unincorporated Trustee Gorporation association LL if you are applying as one of tha parties on this list you may NOT act as your ow attomey In most cases Use this form to substitute one attorney for another attomey SEEK LEGAL ADUICE BEFORE APPLYING TO RE RESENT YOURSELF m NOTICE TO PARTIES WITHOUT ATTORNEYS A party representing himselt o herself may wish to seek legal assistance Failure to take timely and appropriate action in this case may result in serious legal consequences 4 I consent to this substltution Date TONY RODRIGUEZ TYPE OR PRINT NAMEI TURECI PRRTYa 5 I consent to this substitution Date 8 13 19 r j MICHELE BALLARD MI IER SIGNATURE OP fORMERAITORNEYJ TYPE ONPRINI NAM j 6 I consent to this substitution Date 8 13 19 G r MICHELE BALLARD MILIER OR PRtNT f tiNAiURF nF NEW ATTORNEY 1TYPE NAME I P s 2 See reverse for proofof service by maif3 co e i f 6e SUBSTI CIVIL c 3e2 With t tlos o 3 M Outl ute Ye nnc asoQka oo outOCOUtt O s www f WaMMt vrma w com I MC U50 GASE NAME CASE NUMBER Esperan2a Peret v Kaiser Foundat on Haspitals et aL 19STCV096T0 PROOF 4F SERVICE SY MAIL Substitution oi Attarney Civii Inetructions After having ati parties served 6y mai with the Substitution of Attamey Civii have the person wha maited Ehe document carnplete fhis Proof of Service by Mail An n ic ned copy of the Prqof o Service by Mail should be completed and served with fhe d4curraenL ive the Substitutron r fAtt rney Civi1 and Ehe compJeFed Pmof at Senrice by Mai to the cter c forftting fyau ar representirrg yoursel someone else must mail these papers and sign the Proof of Service by Mail 1 I am over the age of 18 and nat a party ta this cause 1 am a resident of or employed in the county where the mailing occurred My j residence or business address is specifyJ 1299 Qcean Avenue SUite 940 Sania Manica CA 904fl 1 2 i served the Substitution oi Attorney Civil by enclasing a true copy in a sealed envelope addressed to each person wh4se name and address is shown below and depnsiting the snvelope in the United States mail with the postage fuUy prepaid 1 Date of mailing 8 27 19 2 Place of mailing city and sfate Sant MoniG California 3 I declare under pena ty of peryury under the laws of the State af California that the toregoing is true and carrect I Date 27 19 i OliviB Jar millo L I tYPE OR PRINT NAME SIGNATUREj NAME AND ADDRESS OF EACH PERSON TO WHOM N TICE WAS MAtLED 4 a Name af person served Twila S White b Address number street city and ZtP Law Office of Twila S White 6033 West Century Boulevard Suite 810 t os Angeles CA 90045 c Name of person served 1 d Address number stree city and I1P e Name of person served f Address nurnber street city and 2JP g Name of person served h Address jnumber street city anci 2iP i i Name af person served j Address numt sr str et city and 21P List of names and addresses cantinued in attachment nnc o o He ar sros eeea x oi SUBSTITUTlON OF ATTORNEY CIVIL Without Cau t Order Amafrc m les et nc www Formswak nw com