The Texas Workforce Commission Work Search Activity Log
Name:
Week of
:
to
Social Security #:
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
(Ex: Applied for job, submitted resume, attended job fair,
interviewed, used Workforce Center, searched online)
Name, Location and Telephone Number of
Employer/Service/Agency
(For address, use street or Internet address)
Contact Information
Complete all that apply.
Results
Date of Activity
Hired Not hiring
Work Search Activity
Person Contacted
By Mail (Enter Address at left)
E-Mail
Type of Job
Name
Address
City, State, Zip Code
Area Code + Phone
#
Fax #
Start date
Application filed
Other
Date of Activity
Name
Address
_ Hired
Not hiring
Work Search Activity
City, State, Zip Code
Type of Job
Area Code + Phone #
Person Contacted
By Mail (Enter Address at left)
E-Mail
Fax #
Start date
Application filed
Other
Date of Activity
Hired
Not hiring
Work Search Activity
Type of Job
By Mail (Enter Address at left)
E-Mail
Fax #
Start date
Application filed
Other
Date of Activity
Name
Address
Hired
Not hiring
Work Search Activity
City, State, Zip Code
Type of Job
Area Code + Phone
#
By Mail (Enter Address at left)
E-Mail
Fax #
Start date
Application filed
Other
Date of Activity
Name
Address
Hired
Not hiring
Work Search Activity
City, State, Zip Code
Type of Job
Area Code + Phone #
Person Contacted
By Mail (Enter Address at left)
E-Mail
Fax #
Start date
Application filed
Other
An individual may receive and review information that TWC collects regarding that individual by sending an email to open.records@twc.state.tx.us or writing to TWC Open Records Unit, 101 E.
15th St. Room 266, Austin TX 78778-0001.
Keep this form for your records. Submit a copy to TWC only if requested using our online UI Submission Portal at https://twc.texas.gov/uidocs or the address or fax number we gave you.
BN900E (09-04-20)
TWC
use
only
Verifier ID:
V-Date:
Outcome:
A
U#
UO
RD:
WSV BWE:
Name
Address
City, State, Zip Code
Area Code + Phone
#
-
-
Person Contacted
Person Contacted