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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: https://www.uottawa.ca/faculty-medicine/system/files/webform/safe_ride_home_form/11486/Marchcallchedule.png Proof of payment: https://www.uottawa.ca/faculty-medicine/system/files/webform/safe_ride_home_form/11486/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