Safe Ride Home Form: Submission #13

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Submission information

Submission Number: 13

Submission ID: 11471

Submission UUID: b59930a7-8ec3-4389-a2bf-0cf8fbd422e4

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

Created: Fri, 05/09/2025 - 20:26

Completed: Fri, 05/09/2025 - 20:27

Changed: Fri, 05/09/2025 - 20:27

Remote IP address: 104.23.187.215

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 2025-04-25

Your on-call shift’s start time 16:00

Your on-call shift’s end time 08:00

Proof of on call shift

April1025callschedule.png

Proof of payment

April25call_CE.pdf

Proof of payment 2

April25callreturn_CE.pdf

Name of hospital where work was performed Ottawa Civic Hospital

Home program Internal Medicine - uOttawa

Comment Internal medicine night call