__[Attorney name]__
__[Address]__
__[Telephone number]__

Attorney for Plaintiff
__[name]__

            _ _ _ _ _ _ Court, County of _ _ _ _ _ _
                   __[_ _ _ _ _ _ District]__

_ _ _ _ _ _ _ _ _ _ _ _ _  )   No. _ _ _ _ _ _
                               Plaintiff(s))
vs.                                                        )CERTIFICATE OF MERIT
                                                                          )
_ _ _ _ _ _ _ _ _ _ _ _ _  )
                               Defendant(s))
_________________________  )

__[Name]__ declares:
     1.   I am the attorney for plaintiff, __[name]__, in this
action.
     2.   This action is one for damages arising out of
professional negligence.
     3.   I have reviewed the facts of this case and consulted
with at least one __[insert category of professional consulted]__
who is licensed to practice and __[practices in __[name of
state]__/who teaches at an accredited college or university]__.
     4.   I reasonably believe that the __[category of
professional consulted]__ is knowledgeable about the issues
relevant to this action.
     5.   On the basis of the review and consultation, I have
concluded that there is reasonable and meritorious cause for
filing this action.
     I certify under penalty of perjury under the laws of the
State of California that the foregoing is true and correct.

Date: _ _ _ _ _ _                                          [Signature]
                                                                                                                                                                     _________________________
                                                                                                                                            __[Typed name]__
                                                                                                         Attorney for _ _ _ _ _ _ _ _ _ _
      

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Legal Forms : Set Two