Form Ucb-12 - Weekly Work Search Notice Page 2
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1
2Weekly work search report for: _______________________________ SSN: _____________________
UI Week No. ____ From Sunday ____________________________ through Saturday _____________________________
Date ______________ Type of Work __________________________ Result _____________________________________
Employer Name ___________________________________ Address __________________________________________
Person Contacted
) ____________________________________ Phone No.
____________________
(name/position
(if known)
Method of Contact
___________________________________________________________
(in person, resume, telephone, mail, etc.)
Date ______________ Type of Work __________________________ Result _____________________________________
Employer Name ___________________________________ Address __________________________________________
Person Contacted
) ____________________________________ Phone No.
____________________
(name/position
(if known)
Method of Contact
___________________________________________________________
(in person, resume, telephone, mail, etc.)
Weekly work search report for: _______________________________ SSN: _____________________
UI Week No. ____ From Sunday ____________________________ through Saturday _____________________________
Date ______________ Type of Work __________________________ Result _____________________________________
Employer Name ___________________________________ Address __________________________________________
Person Contacted
) ____________________________________ Phone No.
____________________
(name/position
(if known)
Method of Contact
___________________________________________________________
(in person, resume, telephone, mail, etc.)
Date ______________ Type of Work __________________________ Result _____________________________________
Employer Name ___________________________________ Address __________________________________________
Person Contacted
) ____________________________________ Phone No.
____________________
(name/position
(if known)
Method of Contact
___________________________________________________________
(in person, resume, telephone, mail, etc.)
Weekly work search report for: _______________________________ SSN: _____________________
UI Week No. ____ From Sunday ____________________________ through Saturday _____________________________
Date ______________ Type of Work __________________________ Result _____________________________________
Employer Name ___________________________________ Address __________________________________________
Person Contacted
) ____________________________________ Phone No.
____________________
(name/position
(if known)
Method of Contact
___________________________________________________________
(in person, resume, telephone, mail, etc.)
Date ______________ Type of Work __________________________ Result _____________________________________
Employer Name ___________________________________ Address __________________________________________
Person Contacted
) ____________________________________ Phone No.
____________________
(name/position
(if known)
Method of Contact
___________________________________________________________
(in person, resume, telephone, mail, etc.)
This is your record. Do not ask any employer to sign this form.
When you run out of space, you can print additional pages of the work search
report form from the Internet at If you
do not have access to the Internet, you can keep your work search record on a
separate piece of paper. Be sure to include all of the required information.
Do not mail in this form unless you are asked to do so.
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Parent category: Business