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Submission information
Submission Number: 34
Submission ID: 11731
Submission UUID: 934a48e5-13c2-4911-acc8-24f948f1d588
Submission URI: https://www.uottawa.ca/faculty-medicine/form/safe-ride-home-form
Created: Mon, 05/19/2025 - 14:39
Completed: Mon, 05/19/2025 - 14:39
Changed: Mon, 05/19/2025 - 14:39
Remote IP address: 162.158.158.238
Submitted by: Anonymous
Language: English
Is draft: No
Webform: Safe Ride Home Form
Student Number | 300391339 |
---|---|
First Name | Min Joon |
Last Name | Lee |
Date of service | 2025-05-19 |
Your on-call shift’s start time | 08:00 |
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 | TOH-CIVIC |
Home program | Emergency Medicine |
Comment |