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Submission information
Submission Number: 21
Submission ID: 11586
Submission UUID: 1b1e53fd-69b8-4671-9b95-903471aa21f7
Submission URI: https://www.uottawa.ca/faculty-medicine/form/safe-ride-home-form
Created: Wed, 05/14/2025 - 12:38
Completed: Wed, 05/14/2025 - 12:39
Changed: Wed, 05/14/2025 - 12:39
Remote IP address: 172.69.130.35
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 | 2025-04-29 |
| 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 |
