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Submission information
Submission Number: 29
Submission ID: 11646
Submission UUID: 7fc02da1-7a74-4fe7-8979-d57432542c4d
Submission URI: https://www.uottawa.ca/faculty-medicine/form/safe-ride-home-form
Created: Wed, 05/14/2025 - 15:55
Completed: Wed, 05/14/2025 - 15:56
Changed: Wed, 05/14/2025 - 15:56
Remote IP address: 162.158.127.52
Submitted by: Anonymous
Language: English
Is draft: No
Webform: Safe Ride Home Form
| Student Number | 8760593 |
|---|---|
| First Name | Austin |
| Last Name | Gerhart |
| Date of service | 2025-05-06 |
| 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 | General |
| Home program | Internal Medicine |
| Comment |
