The Texas Workforce Commission Work Search Log

Week of: _____________ to ______________

Number of Required searches: _______________

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

Date of Activity ..........................................................................

Work Search Activity ................................................................

Name, Location and Telephone

Number of Employer/Service/Agency
(For address, use street or Internet address)

Contact Information

Results

Complete all that apply.

Name .................................................................................................... Person Contacted .......................................... _ Hired

Address ................................................................................................ _ By Mail (Enter Address at left)

_ Not hiring

Start date .....................................

City, State, Zip Code ....................................................................... _ E-Mail ........................................................ _ Application filed

Type of Job ................................................................................

Area Code + Phone # (...............)................................................... _ Fax # (..............)........................................ _ Other ........................................

Date of Activity ..........................................................................

Name .................................................................................................... Person Contacted .......................................... _ Hired

Address ................................................................................................ _ By Mail (Enter Address at left)

_ Not hiring

Start date .....................................

City, State, Zip Code ....................................................................... _ E-Mail ........................................................ _ Application filed

Area Code + Phone # (...............)................................................... _ Fax # (..............)........................................ _ Other ........................................

Date of Activity ..........................................................................

Name .................................................................................................... Person Contacted .......................................... _ Hired

Address ................................................................................................ _ By Mail (Enter Address at left)

Start date .....................................

City, State, Zip Code ....................................................................... _ E-Mail ........................................................ _ Application filed

Area Code + Phone # (...............)................................................... _ Fax # (..............)........................................ _ Other ........................................

Date of Activity ..........................................................................

Name .................................................................................................... Person Contacted .......................................... _ Hired

Address ................................................................................................ _ By Mail (Enter Address at left)

_ Not hiring

Start date .....................................

City, State, Zip Code ....................................................................... _ E-Mail ........................................................ _ Application filed

Area Code + Phone # (...............)................................................... _ Fax # (..............)........................................ _ Other ........................................

Date of Activity ..........................................................................

Name .................................................................................................... Person Contacted .......................................... _ Hired

Type of Job ................................................................................

Address ................................................................................................ _ By Mail (Enter Address at left)

_ Not hiring

Start date .....................................

City, State, Zip Code ....................................................................... _ E-Mail ........................................................ _ Application filed

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)

WSV BWE:

Type of Job ................................................................................

Work Search Activity ................................................................

RD:

Work Search Activity ................................................................

UO

Type of Job ................................................................................

U#

Work Search Activity ................................................................

_ Not hiring

Type of Job ................................................................................

Outcome:

Work Search Activity ................................................................

V-Date:

(Ex: Applied for job, submitted resume, attended job fair,

interviewed, used Workforce Center, searched online)

Verifier ID:

Name:
Social Security #: _______-_____-_______

TWC
use
only