Safe Ride Home Form: Submission #9

The View page displays a submission's general information and data. Watch video

Submission information

Submission Number: 9

Submission ID: 11451

Submission UUID: 60ca69d1-34e7-4102-ba7a-4077eb47cf6b

Submission URI: https://www.uottawa.ca/faculty-medicine/form/safe-ride-home-form

Created: Fri, 05/09/2025 - 20:18

Completed: Fri, 05/09/2025 - 20:19

Changed: Fri, 05/09/2025 - 20:19

Remote IP address: 104.23.187.55

Submitted by: Anonymous

Language: English

Is draft: No

Webform: Safe Ride Home Form

Student Number 6605248

First Name Carlos

Last Name Escudero

Date of service 2025-01-03

Your on-call shift’s start time 08:00

Your on-call shift’s end time 08:00

Proof of on call shift

Neurology call schedule.png

Proof of payment

January3call_CE.pdf

Proof of payment 2 {Empty}

Name of hospital where work was performed Ottawa Civic Hospital

Home program Internal Medicine - uOttawa

Comment Night call for Neurology