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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 | |
| Proof of payment | |
| Proof of payment 2 | |
| Name of hospital where work was performed | Ottawa Civic Hospital |
| Home program | Internal Medicine - uOttawa |
| Comment | Internal medicine night call |
