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Submission information
Submission Number: 17
Submission ID: 11566
Submission UUID: 155d09fe-3d5c-40ca-94e4-f3c4951528d4
Submission URI: https://www.uottawa.ca/faculty-medicine/form/safe-ride-home-form
Created: Wed, 05/14/2025 - 12:33
Completed: Wed, 05/14/2025 - 12:33
Changed: Wed, 05/14/2025 - 12:33
Remote IP address: 108.162.242.104
Submitted by: Anonymous
Language: English
Is draft: No
Webform: Safe Ride Home Form
Student Number: 300452762 First Name: Ariel Last Name: Foo Date of service: 2025-04-15 Your on-call shift’s start time: 17:00 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/11566/Screenshot%202025-05-14%20at%2012.31.06.png Proof of payment: https://www.uottawa.ca/faculty-medicine/system/files/webform/safe_ride_home_form/11566/att.tXIxLOP1PNvcobApJFErvsVj9UeV8K25UrHxTxbYUxA.jpg Proof of payment 2: {Empty} Name of hospital where work was performed: The Ottawa Hospital - General Campus Home program: Internal Medicine Comment: {Empty}