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Submission information
Submission Number: 14
Submission ID: 11476
Submission UUID: 14d3626b-208b-4dc4-a4fd-108f140f3eb5
Submission URI: https://www.uottawa.ca/faculty-medicine/form/safe-ride-home-form
Created: Fri, 05/09/2025 - 20:28
Completed: Fri, 05/09/2025 - 20:28
Changed: Fri, 05/09/2025 - 20:28
Remote IP address: 162.158.158.105
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: 2025-04-27 Your on-call shift’s start time: 16:00 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/11476/April2730_callschedule.png Proof of payment: https://www.uottawa.ca/faculty-medicine/system/files/webform/safe_ride_home_form/11476/April27call_CE.pdf Proof of payment 2: {Empty} Name of hospital where work was performed: Ottawa Civic Hospital Home program: Internal Medicine - uOttawa Comment: Internal medicine night call