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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 | |
| 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 |
