Submission Number: 18
Submission ID: 11571
Submission UUID: 52009c29-39ad-4085-90aa-4651223a65a2

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
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: https://www.uottawa.ca/faculty-medicine/system/files/webform/safe_ride_home_form/11571/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/11571/att.iGvs82814y6EA1XlVeVqAVLClFuaHM-sFUvrtLfyqg4.jpg
Proof of payment 2: {Empty}
Name of hospital where work was performed: The Ottawa Hospital - General Campus
Home program: Internal Medicine
Comment:
{Empty}