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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 | |
Proof of payment | |
Proof of payment 2 | |
Name of hospital where work was performed | Ottawa Civic Hospital |
Home program | Internal Medicine - uOttawa |
Comment | Night call for Neurology |