XXX
XXX

SUPERIOR COURT OF THE STATE OF XXX

COUNTY OF XXX

XXXX,
Plaintiff,
v.
XXX HOSPITAL
XXX; and XXX
, in his official and individual
capacity,
Defendants.

Case No.: XXX

NOTICE OF MOTION TO RECUSE
JUDGE

NOTICE OF MOTION TO RECUSE JUDGE

TO THE SUPERIOR COURT, TO XXX  HOSPITAL PRESBYTERIAN,
TO XXX, AND TO THEIR ATTORNEYS OF RECORD AND TO HON.
XXX:
NOTICE IS HEREBY GIVEN that Plaintiff XXX, at the venue indicated or at
such other venue as the court shall prescribe, will move this Court for an Order to recuse the
Judge, pursuant to CCP §170.6(a).
The motion will be based on this Notice of Motion, the Motion itself and the averments
therein, on any records and files already filed in this case, and on such evidence as may be
presented at the hearing of the motion.

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NOTICE OF MOTION TO RECUSE JUDGE

Dated: ____________

Respectfully submitted,

______________________________
XXX

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NOTICE OF MOTION TO RECUSE JUDGE
CERTIFICATE OF SERVICE

I hereby certify that on _____________, copies of the foregoing document have been
served upon the Defendants in this case at the following address:

[ENTER DEFENDANTS’ ADDRESSES]

DATED: __________

Respectfully submitted,

_________________________
XXX

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