On June 02, 2020 a
Judgment
was filed
involving a dispute between
Sandberg, Erica,
and
Dignity Community Care Dba Saint Francis Memorial,
Dignity Health, Inc.,
Does 1 To 50 Inclusive,
Prieto Md, Victor,
St. Francis Memorial Hospital,
St. Francis Memorial Hospital Center For Sports,
St. Francis Orthopedic Institute,
The Estate Of Stephen Van Pelt,
The Estate Of Stephen Van Pelt, M.D.,
Van Pelt Md, Stephen,
for MALPRACTICE - MEDICAL/DENTAL
in the District Court of San Francisco County.
Preview
CIV-110
end eddfecc).
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, Sfefe Bef numeef, FOR COURT USE ONL Y
Cyrus A. Tabari 133842
Sheuerman Martini Tabari Zenere & Garvin
1033 Willow Street
San Jose, Ca 95125 ELECTRONICALLY
(408) 288-9700 (408)350-1432
TELEPHONENOJ
EMAILADDREss(opleeefkctabariesmtlaw. corn
FAXNO.(oplenel).
F I L E D
Superior Court of California,
ATTQRNEY Eon (Name) Defendants DIGNITY HEALTH, INC., ET AL County of San Francisco
SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN FRANCISCO
sTREETADDREss: 400 McAl 1 is ter Street 01/07/2021
Clerk of the Court
MAILING ADDRESS BY: VANESSA WU
OITYANDzIPCGDE: San FranCiSCO CA 94102 Deputy Clerk
BRANCH
ERICA
NAME'LAINTIFF/PETITIONER; SANDBERG
DEFENDANT/RESPONDENT: DIGNITY HEALTH, INC., ET AL
CASE NUMBER:
REQUEST FOR DISMISSAL CGC-20-584686
A conformed copy will not be returned by the clerk unless a method of return is provided with the document.
This form may not be used for dismissal of a derivative action or a class action or of any party or cause of action in a
class action. (Cal. Rules of Court, rules 3.760 and 3.770.)
1. TO THE CLERK: Please dismiss this action as follows:
a.
b.
(1) ~
(1) Q3
With prejudice
Complaint
(2) Q3
(2)~
Without prejudice
Petition
(3)
(4)
~
~
Cross-complaint filed by (name):
Cross-complaint filedby (name)l
on (dsfe):
on (dsfe):
(5)
(6)
~
~ Entireactionof
Othel'(spec//)I)
parties
all
As to
and allcauses
defendants
of action
DIGNITY HEALTH, INc.; sT. FRANcIs QRTHopEDIc INsTITUTE; and
HOSPITAL FOR SPORTS MEDICINE. Each
2. (COmP/e/cine/ICaSeSeXCePt/amf/y/aWCaeea)ST. 'arty FRANCIS
to bear
MEMORIAL
their own cost.sv
CENTER
The court ~did ~did not waive court fees and costs for a party in this case. (This information mey be obtained from
h'
Ihe clerk. If court fees and costs were waived, the declaration on Ihe b
k / d)
Date; FFdg-Z -Z fpZO
Mark..J......Zanobini... SB()121184
QQ ATTORNEY
(TYPE OR PRINT NAME OF O PARTY WITHOUT ATTORNEY) IGNATURE)
ERIGA
Attorney or party witt((tut attorney for: EANDEERG
It dismissal requested is of speafied paflies onlv, of specified causes of action
~
only, or of speafied cross-complaints onlv, so state and identify the parties,
causes of action, or cross-complaints Io be dismissed.
~
Plaintiff/Petitioner
Cross-Complainant
~ Defendant/Respondent
3. TO THE CLERK: Consent to the above dismissal is hereby given.**
Date:
~
(TYPE OR PRINT NAME OF ATTORNEY~ PARTY WITHOUT ATTORNEY) (SIGNATURE)
Attorney or party without attorney for:
If a cross-complainl - or Response (Family Law) seekinq affirmalive
~
relief- is on rile, Ihe anomev for Ihe cross-complainant (fespondenl) must
~
sign this consent d fequireff by Code oi Civil Procedure section 551(i)
or (I).
Plaintiff/Petitioner
Cross-Complainant
~ Defendant/Respondent
(To be completed by clerk)
4. C3 Dismissal entered as requested on (dafe)) DISMISSAL ENTERED
5.
6.
~
~ Dismissal entered on (da/e))
Dismissal not entered asrequested forthefollowing
as to only (name):
reasons (specify):
01/07/2021
By: VANESSA WU
Deputy Clerk
7. a.
b.
~
~
Attorney or party without attorney notified on (date):
Filing party failed to provide
Attorney or party without attorney not notified.
~ a copy to be conformed ~ means to return conformed copy
Clerk, by , Deputy
Page I of 2
code of ovil procedure. 5 5SI ei seq.,
~
Fomi Adopted loi Mandatory Use
/[3'aeential
Judfoel Council of California
(
cfv-110 IRev. Jen I, 23131
cehcom Fe) FDTTRS
REQUEST FOR DISMISSAL
Sandberg, Erica
sss31(ck cai Rules cl couii, mle 3.13ec
Gov. Code,
ii
www caves. ce go v
CIV-110
PLAINTIFF/PETITIONER: ERICA SAITIDBERG CASE NUMBER:
CGC-20-584686
DEFENDANT/RESPONDENT: DIGNITY HEALTH, INC., ET AL
COURT'S RECOVERY OF WAIVED COURT FEES AND COSTS
If a party
whose courtfees and costs were initially waived has recovered or will recover $ 1 0,000 or
more in value by way of settlement, compromise, arbitration award, mediation settlement, or other
means, ths court has a statutory lien on that recovery. The court may refuse to dismiss the case until
the lien is satisfied. IGov. Code, g 63637.)
Declaration Concerning Waived Court Fees
1. The court waivedfees and costs in this action for (name):
2. The person in item 1 is (check one below):
a. C3 not recovering anything of value by this action.
b.
c.
~
~
recovering less than $ 1 0,000 in value by this action.
recovering $ 10,000 or more in value by this action. (If item 2c is checked, item 3 must be complsfed.)
3. ~ All C3 Yes
court fess and costs that were waived in this action have been paid to the court (check one): ~ No
I declare under penalty of perjury under the laws of the State of California that the information above is true and correct.
Date:
IEIGNATUREI
Ssss2o12
~
clv.110 IRss Jssssly I, 221 3I
REOUEST FOR DISMISSAL
~
gsForrrur Sandberg, Erica
Document Filed Date
January 07, 2021
Case Filing Date
June 02, 2020
Category
MALPRACTICE - MEDICAL/DENTAL
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