Submission Number: 26
Submission ID: 11611
Submission UUID: fc9e564f-cb96-4e49-8302-47d770288750

Created: Wed, 05/14/2025 - 12:56
Completed: Wed, 05/14/2025 - 12:57
Changed: Wed, 05/14/2025 - 12:57

Remote IP address: 162.158.126.101
Submitted by: Anonymous
Language: English

Is draft: No
Student Number: 8760593
First Name: Austin
Last Name: Gerhart
Date of service: 2025-05-14
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/11611/Screenshot%202025-05-14%20at%2012.55.01%E2%80%AFPM.png
Proof of payment: https://www.uottawa.ca/faculty-medicine/system/files/webform/safe_ride_home_form/11611/Uber%20Receipt%20May%2014th.pdf
Proof of payment 2: {Empty}
Name of hospital where work was performed: General
Home program: Internal Medicine
Comment:
{Empty}