Submission Number: 29
Submission ID: 11646
Submission UUID: 7fc02da1-7a74-4fe7-8979-d57432542c4d

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
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: https://www.uottawa.ca/faculty-medicine/system/files/webform/safe_ride_home_form/11646/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/11646/Uber%20Receipt%20May%206th.pdf
Proof of payment 2: {Empty}
Name of hospital where work was performed: General
Home program: Internal Medicine
Comment:
{Empty}