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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: https://www.uottawa.ca/faculty-medicine/system/files/webform/safe_ride_home_form/11731/ICU%20oncall.png Proof of payment: https://www.uottawa.ca/faculty-medicine/system/files/webform/safe_ride_home_form/11731/May%2018%20Call.png Proof of payment 2: {Empty} Name of hospital where work was performed: TOH-CIVIC Home program: Emergency Medicine Comment: {Empty}