The Texas Workforce Commission Work Search Log

TWC
use
Name: Week of: _____________ to ______________ only

Social Security #: _______-_____-_______ Number of Required searches: _______________

Verifier ID:
If you are still unemployed after eight weeks of benefits, you should reduce your salary requirement and look at more job openings. Make as many copies of this as you need, or print copies
at www.twc.state.tx.us/ui/bnfts/worksearchlog.html.

Date, Description of Work Search Name, Location and Telephone Contact Information Results
(Ex: Applied for job, submitted resume, attended job fair, Number of Employer/Service/Agency Complete all that apply.
interviewed, used Workforce Center, searched online) (For address, use street or Internet address)

V-Date:
Date of Activity .......................................................................... Name .................................................................................................... Person Contacted .......................................... _ Hired _ Not hiring
Address ................................................................................................ _ By Mail (Enter Address at left) Start date .....................................
Work Search Activity ................................................................
City, State, Zip Code ....................................................................... _ E-Mail ........................................................ _ Application filed
Type of Job ................................................................................ Area Code + Phone # (...............)................................................... _ Fax # (..............)........................................ _ Other ........................................

Date of Activity .......................................................................... Name .................................................................................................... Person Contacted .......................................... _ Hired _ Not hiring

Outcome:
Address ................................................................................................ _ By Mail (Enter Address at left) Start date .....................................
Work Search Activity ................................................................
City, State, Zip Code ....................................................................... _ E-Mail ........................................................ _ Application filed
Type of Job ................................................................................ Area Code + Phone # (...............)................................................... _ Fax # (..............)........................................ _ Other ........................................

A
Date of Activity .......................................................................... Name .................................................................................................... Person Contacted .......................................... _ Hired _ Not hiring
Address ................................................................................................ _ By Mail (Enter Address at left) Start date .....................................
Work Search Activity ................................................................

U#
City, State, Zip Code ....................................................................... _ E-Mail ........................................................ _ Application filed
Type of Job ................................................................................ Area Code + Phone # (...............)................................................... _ Fax # (..............)........................................ _ Other ........................................

UO
Date of Activity .......................................................................... Name .................................................................................................... Person Contacted .......................................... _ Hired _ Not hiring
Address ................................................................................................ _ By Mail (Enter Address at left) Start date .....................................

RD:
Work Search Activity ................................................................
City, State, Zip Code ....................................................................... _ E-Mail ........................................................ _ Application filed
Type of Job ................................................................................ Area Code + Phone # (...............)................................................... _ Fax # (..............)........................................ _ Other ........................................

Date of Activity .......................................................................... Name .................................................................................................... Person Contacted .......................................... _ Hired _ Not hiring

WSV BWE:
Address ................................................................................................ _ By Mail (Enter Address at left) Start date .....................................
Work Search Activity ................................................................
City, State, Zip Code ....................................................................... _ E-Mail ........................................................ _ Application filed
Type of Job ................................................................................ Area Code + Phone # (...............)................................................... _ Fax # (..............)........................................ _ Other ........................................

Keep this form for your records. Send a copy to TWC only if requested, using the address or fax number we give you
You may receive, review, and correct information TWC collects about you by contacting TWC Open Records at 1-866-274-0940.

BN900E (06-07-10)