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Submission information
Submission Number: 18
Submission ID: 11571
Submission UUID: 52009c29-39ad-4085-90aa-4651223a65a2
Submission URI: https://www.uottawa.ca/faculty-medicine/form/safe-ride-home-form
Created: Wed, 05/14/2025 - 12:34
Completed: Wed, 05/14/2025 - 12:34
Changed: Wed, 05/14/2025 - 12:34
Remote IP address: 172.69.130.64
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 | 2025-04-17 |
| Your on-call shift’s start time | 17:00 |
| 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 | The Ottawa Hospital - General Campus |
| Home program | Internal Medicine |
| Comment |
