ATTACHMENT FM-1120
SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CLARA
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
201 North First Street, San José, CA 95113
191 North First Street
San José, California 95113
Family Justice Center
PETITIONER:
RESPONDENT:
FOR COURT USE ONLY
SEEK WORK ORDER
CASE NUMBER:
IT IS ORDERED THAT:
1.
Petitioner Respondent shall make all reasonable good faith efforts to seek and obtain gainful
employment in accordance with his/her skills and abilities. Failure to do so may result in the Court basing
support on ability to earn for the purposes of determining child and spousal support. Failure to make
good faith efforts may be considered by the court as a basis for modifying, setting, or terminating
support.
2. The job seeker shall make at least
ten (10) applications for jobs every week and shall
immediately register with at least five (5) temporary employment agencies, including the One Stop
Center in his/her county. The job seeker shall keep a written log of all efforts to obtain employment, including
registering for work with temporary agencies during any periods of unemployment. The log shall be in writing
on the form attached to this Order and shall include the name, address, telephone number, and email address,
if applicable, of any application made, the date of the job application or interview, and the results of the
application and any follow up done. Copies of the log shall be sent to the other party and his or her attorney on
a monthly basis on or before the first of each month, starting
. Online job applications
alone shall not be sufficient to satisfy the requirements of this order to actively seek employment.
YOU MUST BRING THE ORIGINAL LOGS TO THE NEXT COURT HEARING.
Other Orders:
3. In the event that the job seeker becomes employed or self-employed, whether full time or part time, that party
shall within 48 hours notify the other party or the attorney for the other party in writing of the name, telephone
number, and address of the new employer, as well as the rate of pay. Any modification of support as a result
of obtaining employment shall be effective as of the date of employment. If the job seeker has obtained
employment before the next hearing, he or she is to bring copies of three (3) most recent pay stubs (if
available) or a letter of employment for any periods of employment as well as the logs for any periods of
unemployment.
4.
The parties shall return on
at a.m./ p.m. in Department before
the Court Settlement Officer to review the efforts toward obtaining employment, to recommend additional or
different efforts toward obtaining employment, and, if appropriate, to order recalculation of support based on
the lack of good faith efforts toward obtaining employment, including the imputation of income. Such
imputation and recalculation may relate back to the filing date of this order.
NOTICE: FAILURE TO APPEAR FOR THE REVIEW HEARIN
G ON THE DATE ABOVE MAY RESULT IN A
SUPPORT ORDER BASED UPON AN IMPUTED OR ESTIMATED LEVEL OF YOUR INCOME WITHOUT YOUR
APPEARANCE. SUPPORT MAY BE BASED UPON YOUR ABILITY TO EARN WHETHER OR NOT YOU ARE
ACTUALLY EMPLOYED.
Date:
Judicial Officer of the Superior Court
FM-1120 REV 1/1/14
SEEK WORK ORDER Page 1 of 2
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WORK SEARCH REPORT
REPORT PERIOD: TO:
Please make multiple copies of this form for your use. Complete and sign each form.
You must bring the originals to your next court hearing and make a copy for your records.
#
Date of
Application
Employer or Agency
Name
Contact Name
and Number
How did you
apply?
Position Applied
for
Results
(interview, call back, etc.)
Employment
Agency?
I declare under penalty of perjury under the laws of the State of California that the information contained in this report is true and correct.
Date: Signature: CSB# (s)
FM-1120 REV 1/
1/14
SEEK WORK ORDER Page 2 of 2