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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 | |
Proof of payment | |
Proof of payment 2 | |
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 |