Safe Ride Home Form: Submission #31

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Submission information

Submission Number: 31

Submission ID: 11716

Submission UUID: ef0bd941-aa47-4cb6-aa9a-9a367aaf5c15

Submission URI: https://www.uottawa.ca/faculty-medicine/form/safe-ride-home-form

Created: Sun, 05/18/2025 - 13:02

Completed: Sun, 05/18/2025 - 13:12

Changed: Sun, 05/18/2025 - 13:12

Remote IP address: 172.70.80.133

Submitted by: Anonymous

Language: English

Is draft: No

Webform: Safe Ride Home Form

Student Number 300394135

First Name Rafia

Last Name Saboor

Date of service 2025-04-15

Your on-call shift’s start time 17:01

Your on-call shift’s end time 08:01

Proof of on call shift

On call Schedule April 2025.png

Proof of payment

April 15 - lyft to hospital.png

Proof of payment 2

April 16th - lyft from hospital.png

Name of hospital where work was performed Ottawa Hospital Civic campus

Home program Core Internal Medicine

Comment I am attaching the receipts to and from the civic campus post call rather than from and back

Thanks for your assistance