The Texas Workforce Commission Work Search Log
TWC
Name:
Social Security #: _______-_____-_______
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
(Ex: Applied for job, submitted resume, attended job fair,
interviewed, used Workforce Center, searched online)
Date of Activity ..........................................................................
Work Search Activity ................................................................
Type of Job ................................................................................
Date of Activity ..........................................................................
Work Search Activity ................................................................
Type of Job ................................................................................
Date of Activity ..........................................................................
Work Search Activity ................................................................
Type of Job ................................................................................
Date of Activity ..........................................................................
Work Search Activity ................................................................
Type of Job ................................................................................
Date of Activity ..........................................................................
Work Search Activity ................................................................
Type of Job ................................................................................
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)
use
Week of: _____________ to ______________ only
Number of Required searches: _______________
Verifier ID:
Name, Location and Telephone Contact Information Results
Number of Employer/Service/Agency Complete all that apply.
(For address, use street or Internet address)
V-Date:
Name .................................................................................................... Person Contacted .......................................... _ Hired _ Not hiring
Address ................................................................................................ _ By Mail (Enter Address at left) Start date .....................................
City, State, Zip Code ....................................................................... _ E-Mail ........................................................ _ Application filed
Area Code + Phone # (...............)................................................... _ Fax # (..............)........................................ _ Other ........................................
Name .................................................................................................... Person Contacted .......................................... _ Hired _ Not hiring
Outcome:
Address ................................................................................................ _ By Mail (Enter Address at left) Start date .....................................
City, State, Zip Code ....................................................................... _ E-Mail ........................................................ _ Application filed
Area Code + Phone # (...............)................................................... _ Fax # (..............)........................................ _ Other ........................................
A
Name .................................................................................................... Person Contacted .......................................... _ Hired _ Not hiring
Address ................................................................................................ _ By Mail (Enter Address at left) Start date .....................................
U#
City, State, Zip Code ....................................................................... _ E-Mail ........................................................ _ Application filed
Area Code + Phone # (...............)................................................... _ Fax # (..............)........................................ _ Other ........................................
UO
Name .................................................................................................... Person Contacted .......................................... _ Hired _ Not hiring
Address ................................................................................................ _ By Mail (Enter Address at left) Start date .....................................
RD:
City, State, Zip Code ....................................................................... _ E-Mail ........................................................ _ Application filed
Area Code + Phone # (...............)................................................... _ Fax # (..............)........................................ _ Other ........................................
Name .................................................................................................... Person Contacted .......................................... _ Hired _ Not hiring
WSV BWE:
Address ................................................................................................ _ By Mail (Enter Address at left) Start date .....................................
City, State, Zip Code ....................................................................... _ E-Mail ........................................................ _ Application filed
Area Code + Phone # (...............)................................................... _ Fax # (..............)........................................ _ Other ........................................