Submission Number: 27
Submission ID: 11636
Submission UUID: 1a33c675-19f3-44e2-994a-4e2a056740b1

Created: Wed, 05/14/2025 - 15:48
Completed: Wed, 05/14/2025 - 15:48
Changed: Wed, 05/14/2025 - 15:48

Remote IP address: 162.158.126.100
Submitted by: Anonymous
Language: English

Is draft: No
Student Number: 8760593
First Name: Austin
Last Name: Gerhart
Date of service: 2025-05-11
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/11636/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/11636/Uber%20Receipt%20May%2011th.pdf
Proof of payment 2: {Empty}
Name of hospital where work was performed: General
Home program: Internal Medicine
Comment:
{Empty}