Safe Ride Home Form: Submission #10

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Submission information

Submission Number: 10

Submission ID: 11456

Submission UUID: 92debeee-0655-4f95-b7af-1608809de5e8

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

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

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

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

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 2025-01-06

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

January6call_CE.pdf

Proof of payment 2

January6callreturn_CE.pdf

Name of hospital where work was performed Ottawa Civic Hospital

Home program Internal Medicine - uOttawa

Comment Night call for Neurology