1. 1. that I have consulted with and reviewed the facts of the

   case with a health care provider (or providers) who meet(s) the

   requirements of Utah Code Subsection 78B-3-423(4);

2. 2. that the provider (or providers) has (have) determined

   after a review of the medical record and other relevant material

   involved in the particular action that there is a reasonable and

   meritorious cause for the filing of a medical liability action with

   respect to (identify by name each respondent included in the

   affidavit(s) of merit); and

3. 3. that if I file an action in court against a respondent,

   I will notify the Division within 60 days of the filing in

   accordance with Utah Administrative Code R156-78B-17.

   The affidavit(s) of merit are attached.

Each affidavit of merit executed by the claimant's attorney or by a pro se claimant as required by Subsections 78B-3-423(1) and (2)(a) shall include the following text immediately prior to the affiant's signature:

TABLE V

I hereby certify:

KEY: medical malpractice, prelitigation, certificate of compliance, affidavit of merit

Date of Last Change: December 10, 2018

Notice of Continuation: January 3, 2022

Authorizing, and Implemented or Interpreted Law: 78B-3-416(1)(b)