Safe Ride Home Form: Submission #16

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Submission information

Submission Number: 16

Submission ID: 11486

Submission UUID: 44f8ee81-1b76-4310-bf11-1cfdfea25ed0

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

Created: Fri, 05/09/2025 - 20:31

Completed: Fri, 05/09/2025 - 20:32

Changed: Fri, 05/09/2025 - 20:32

Remote IP address: 104.23.190.239

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 2025-03-22

Your on-call shift’s start time 16:00

Your on-call shift’s end time 08:00

Proof of on call shift

Marchcallchedule.png

Proof of payment

March22call_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