Safe Ride Home Form: Submission #15

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Submission information

Submission Number: 15

Submission ID: 11481

Submission UUID: f7482700-1db6-4461-a3a0-82bd45b1d32a

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

Created: Fri, 05/09/2025 - 20:29

Completed: Fri, 05/09/2025 - 20:29

Changed: Fri, 05/09/2025 - 20:29

Remote IP address: 162.158.158.104

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 2025-04-30

Your on-call shift’s start time 16:00

Your on-call shift’s end time 08:00

Proof of on call shift

April2730_callschedule.png

Proof of payment

April30call_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