Safe Ride Home Form: Submission #33

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Submission information

Submission Number: 33

Submission ID: 11726

Submission UUID: 8cc52cde-fb44-488d-9a34-d4fb98a79efa

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

Created: Sun, 05/18/2025 - 13:17

Completed: Sun, 05/18/2025 - 13:17

Changed: Sun, 05/18/2025 - 13:17

Remote IP address: 172.70.80.100

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 2025-04-27

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 27 - to hospital.png

Proof of payment 2

April 28th from hospital - post call.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 hospital for my call

Thanks for your assistance