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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: https://www.uottawa.ca/faculty-medicine/system/files/webform/safe_ride_home_form/11456/Neurology%20call%20schedule.png Proof of payment: https://www.uottawa.ca/faculty-medicine/system/files/webform/safe_ride_home_form/11456/January6call_CE.pdf Proof of payment 2: https://www.uottawa.ca/faculty-medicine/system/files/webform/safe_ride_home_form/11456/January6callreturn_CE.pdf Name of hospital where work was performed: Ottawa Civic Hospital Home program: Internal Medicine - uOttawa Comment: Night call for Neurology