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Submission information
Submission Number: 35
Submission ID: 11736
Submission UUID: 76c12151-0571-4792-ab81-755a824739aa
Submission URI: https://www.uottawa.ca/faculty-medicine/form/safe-ride-home-form
Created: Mon, 05/19/2025 - 22:19
Completed: Mon, 05/19/2025 - 22:20
Changed: Mon, 05/19/2025 - 22:20
Remote IP address: 162.158.63.61
Submitted by: Anonymous
Language: English
Is draft: No
Webform: Safe Ride Home Form
Student Number: 8600793 First Name: Nadin Last Name: Abbas Date of service: 2025-05-09 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/11736/NAbbas_On%20Call%20Schedule_May%202025.png Proof of payment: https://www.uottawa.ca/faculty-medicine/system/files/webform/safe_ride_home_form/11736/NAbbas_Receipt_10May2025.pdf Proof of payment 2: https://www.uottawa.ca/faculty-medicine/system/files/webform/safe_ride_home_form/11736/NAbbas_Receipt_11May2025.pdf Name of hospital where work was performed: The Ottawa General Hospital Home program: Internal Medicine Comment: {Empty}