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Submission information
Submission Number: 19
Submission ID: 11576
Submission UUID: 5ee0a1a7-2b6d-4ac1-a2de-578465486504
Submission URI: https://www.uottawa.ca/faculty-medicine/form/safe-ride-home-form
Created: Wed, 05/14/2025 - 12:35
Completed: Wed, 05/14/2025 - 12:35
Changed: Wed, 05/14/2025 - 12:35
Remote IP address: 172.69.214.86
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 | 2025-04-22 |
| 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 |
