Application and Order Appoint Guardian ad Litem

Cal. Super. - 6th Dist.April 1, 2021

on 4/1/2021 12:00 AM Reviewed By:D Harris EnV #6148234 c|v_o1o ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY _Kenneth M. Sigelman, Esq., State Bar No. 100238 Kenneth M. Sigelman & Associates 1901 FirstAvenue, 2nd Floor Filed San Diego, CA 92101 TELEPHONE No.: (61 9) 238-381 3 FAX No. (Optional): (61 9) 238-1 866 May 7’ 2021 E-MAILADDRESS (Optional).- Clerk _Of the court ATTORNEY FOR(Name):P|aintiff Brayden Le, etc, SUpenor court 0f CA SUPERIOR COURT 0F CALIFORNIA, COUNTY 0F SANTA CLARA county 0f santa Clara STREET ADDRESS: 191 North First Street 21 CV381 451 MAILING ADDRESS: By: tngo CITY AND ZIP CODE: San Jose, CA 951 13 BRANCH NAME: PLAINTIFF/PETITIONER: BRAYDEN LE, a Minor, etc. DEFENDANT/RESPONDENT: GOOD SAMARITAN HOSPITAL, et al. APPLICATION AND ORDER FOR APPOINTMENT CASE Nl'MRFP' 0F GUARDIAN AD LITEM-CIVIL 21 CV381451 D EX PARTE NOTE: This form is for use in civil proceedings in which a party is a minor, an incapacitated person, or a person for whom a conservator has been appointed. A party who seeks the appointment of a guardian ad litem in a family law or juvenile proceeding should use form FL-935. A party who seeks the appointment of a guardian ad Iitem in a probate proceeding should use form DE-350/GC-100. An individual cannot act as a guardian ad Iitem unless he or she is represented by an attorney or is an attorney. 1. Applicant (name): THANHTUYEN THI DINH is a. g the parent of (name): BRAYDEN LE . the guardian of (name): the conservator of (name): a party to the suit. the minor to be represented (if the minoris 14 years of age or older). another interested person (specify capacity): DDDDD 2. This application seeks the appointment of the following person as guardian ad litem (state name, address, and telephone number): Thanhtuyen Thi Dinh Tel: (408) 239-9157 61 84 Yeadon Way San Jose, CA 951 19 3. The guardian ad litem is to represent the interests of the following person (state name, address, and telephone number): Brayden Le Tel: (408) 239-9157 61 84 Yeadon Way San Jose, CA 951 19 4. The person to be represented is: a. X a minor (date ofbirth): April 17, 2016 b. D an incompetent person. c. D a person for whom a conservator has been appointed. 5. The court should appoint a guardian ad litem because: a. E the person named in item 3 has a cause or causes of action on which suit should be brought (describe): Medical Malpractice D Continued on Attachment 53. Page 1 of 2 F°3Tj£§igf§gufggiff§§§l§fgni‘fe APPLICATION AND ORDER FOR APPOINTMENT 0°“ ”f0”; 33263;: CIV-o1OIRev. January1, 20081 OF GUARDIAN AD LITEM-CIVIL American LegalNet, Inc. www.FormsWorkflow.oom CIV-01 0 _ PLAINTIFF/PETITIONER: BRAYDEN LE, a Minor, etc. CASENUMBER= DEFENDANT/RESPONDENT: GOOD SAMARITAN HOSPITAL, et al. 5. b. D more than 10 days have elapsed since the summons in the above-entitled matter was served on the person named in item 3, and no application forthe appointment of a guardian ad litem has been made by the person identified in item 3 or any other person. c. D the person named in item 3 has no guardian or conservator of his or her estate. d. D the appointment of a guardian ad litem is necessary for the following reasons (specify): D Continued on Attachment 5d. 6. The proposed guardian ad litem's relationship to the person he or she wi|| be representing is: a. X related (state relationship): Mother b. D not related (specify capacity): 7. The proposed guardian ad litem is fully competent and qualified to understand and protect the rights of the person he or she will represent and has no interests adverse to the interests of that person. (If there are any issues ofcompetency or qualification or any possible adverse interests, describe and explain why the proposed guardian should nevertheless be appointed): D Continued on Attachment 7. Kenneth M. Sigelman (TYPE OR PRINT NAME) (SIGNATURE F ATTOR ) | declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: Mar 31, 2021 Thanhtuyen Thi Dinh } Than'hTuyen Thi Dinh (Mar31, 2021 15:01 PDT) (TYPE OR PRINT NAME) (SIGNATURE OF APPLICANT) CONSENT TO ACT AS GUARDIAN AD LITEM | consent to the appointment as guardian ad litem under the above petition. Date: Mar 31, 2021 W (TYPE OR PRINT NAME) (SIGNATURE OF PROPOSED GUARDIAN AD LITEM) ORDER D EX PARTE THE COURT FINDS that it is reasonable and necessary to appoint a guardian ad litem for the person named in item 3 ofthe application, as requested. THE COURT ORDERS that (name): is hereby appointed as the guardian ad litem for (name): for the reasons set forth in item 5 of the application. Date: JUDICIAL OFFICER D SIGNATURE FOLLOWS LAST ATTACHMENT cw.o10[ReV_ mam, zoos] APPLICATION AND ORDER FOR APPOINTMENT Pagan” 0F GUARDIAN AD LITEM-CIVIL American LegalNet, Inc. www.Forms Workflow.com X May 6, 2021 Signed: 5/6/2021 05:52 PM Drew Takaichi