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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: https://www.uottawa.ca/faculty-medicine/system/files/webform/safe_ride_home_form/11721/On%20call%20Schedule%20April%202025.png Proof of payment: https://www.uottawa.ca/faculty-medicine/system/files/webform/safe_ride_home_form/11721/April%2025th%20-%20post%20call%20.png Proof of payment 2: {Empty} Name of hospital where work was performed: Ottawa Hospital Civic campus Home program: Core Internal Medicine Comment: {Empty}