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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: 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}