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Submission information
Submission Number: 24
Submission ID: 11601
Submission UUID: 881eb181-3ecc-4233-99c5-935813d9812c
Submission URI: https://www.uottawa.ca/faculty-medicine/form/safe-ride-home-form
Created: Wed, 05/14/2025 - 12:42
Completed: Wed, 05/14/2025 - 12:43
Changed: Wed, 05/14/2025 - 12:43
Remote IP address: 172.69.130.49
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 | |
Proof of payment | |
Proof of payment 2 | |
Name of hospital where work was performed | The Ottawa Hospital - General Campus |
Home program | Internal Medicine |
Comment | This is a repeat submission for this call shift because my first submission may not have contained the correct receipt |