Safe Ride Home Form: Submission #32

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Submission information

Submission Number: 32

Submission ID: 11721

Submission UUID: 18d28a9c-cfba-4814-94f2-fb2f1a4f6cde

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

Created: Sun, 05/18/2025 - 13:14

Completed: Sun, 05/18/2025 - 13:16

Changed: Sun, 05/18/2025 - 13:16

Remote IP address: 172.69.214.86

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 2025-05-25

Your on-call shift’s start time 17:00

Your on-call shift’s end time 08:00

Proof of on call shift

On call Schedule April 2025.png

Proof of payment

April 25th - post call .png

Proof of payment 2 {Empty}

Name of hospital where work was performed Ottawa Hospital Civic campus

Home program Core Internal Medicine

Comment {Empty}