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Submission information
Submission Number: 22
Submission ID: 11591
Submission UUID: f3cfcb52-9a62-4586-9225-c076cd99822e
Submission URI: https://www.uottawa.ca/faculty-medicine/form/safe-ride-home-form
Created: Wed, 05/14/2025 - 12:39
Completed: Wed, 05/14/2025 - 12:40
Changed: Wed, 05/14/2025 - 12:40
Remote IP address: 172.69.214.215
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: 2025-05-04 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/11591/Screenshot%202025-05-14%20at%2012.31.06_0.png Proof of payment: https://www.uottawa.ca/faculty-medicine/system/files/webform/safe_ride_home_form/11591/May%205.jpg Proof of payment 2: {Empty} Name of hospital where work was performed: The Ottawa Hospital - General Campus Home program: Internal Medicine Comment: {Empty}