The Table page displays a submission's general information and data using tabular layout. Watch video
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 | |
| 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 |
