Submission Number: 19
Submission ID: 11576
Submission UUID: 5ee0a1a7-2b6d-4ac1-a2de-578465486504

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
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: https://www.uottawa.ca/faculty-medicine/system/files/webform/safe_ride_home_form/11576/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/11576/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}